| Pagana & Pagana-defazio Family Practice Llc | |
|
1072 Market St Sunbury PA 17801-2403 | |
| (570) 286-8521 | |
| (570) 286-6197 |
| Full Name | Pagana & Pagana-defazio Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1072 Market St, Sunbury, Pennsylvania |
| Authorized Official Name and Position | John P. Pagana (FAMILY PRACTITIONER) |
| Authorized Official Contact | 5702868521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pagana & Pagana-defazio Family Practice Llc 1072 Market St Sunbury PA 17801-2403 Ph: (570) 286-8521 | Pagana & Pagana-defazio Family Practice Llc 1072 Market St Sunbury PA 17801-2403 Ph: (570) 286-8521 |
| NPI Number | 1922083518 |
|---|---|
| Provider Enumeration Date | 12/07/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9436058732 |
|---|---|
| Medicare Enrollment ID | O20040106000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922083518 | NPI | - | NPPES |
| 50015382 | Other | PA | CAPITAL BLUE CROSS |
| 212152 | Other | PA | HEALTH AMER/HEALTH ASSUR |
| 1485124 | Other | PA | KEYSTONE |
| DA4198 | Other | PA | PALMETTO |
| 1485124 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica Barbara Pagana Defazio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578559670 PECOS PAC ID: 2961301262 Enrollment ID: I20050131000737 |
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