| Mt Bethel Medical Center Llc | |
|
10 Mount Bethel Plz Mount Bethel PA 18343-5212 | |
| (570) 897-7559 | |
| (570) 897-7567 |
| Full Name | Mt Bethel Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Mount Bethel Plz, Mount Bethel, Pennsylvania |
| Authorized Official Name and Position | Jon A Raso (CEO MOUNT BETHEL MEDICAL CENTER LLC) |
| Authorized Official Contact | 5708977559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Bethel Medical Center Llc Po Box 43 10 Mount Bethel Plaza Mount Bethel PA 18343-0043 Ph: (570) 897-7559 | Mt Bethel Medical Center Llc 10 Mount Bethel Plz Mount Bethel PA 18343-5212 Ph: (570) 897-7559 |
| NPI Number | 1992729503 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 02/19/2009 |
| Medicare PECOS PAC ID | 0345211223 |
|---|---|
| Medicare Enrollment ID | O20040804000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992729503 | NPI | - | NPPES |
| 110130795 | Other | PALMETTO GBA - RAILROAD MEDICARE | |
| 50017380 | Other | CAPITAL BLUE CROSS | |
| 1512446 | Other | HIGHMARK BLUE SHIELD | |
| 5843921 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD053686L (Pennsylvania) | Primary |
| Provider Name | Jon A Raso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609080175 PECOS PAC ID: 6901985241 Enrollment ID: I20080512000327 |
Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Mount Bethel Plz, Mount Bethel, PA 18343 Phone: 570-897-7559 Fax: 570-897-7567 |