| Physicians Health Alliance | |
|
748 Quincy Ave Suite 1a Scranton PA 18510-1739 | |
| (570) 347-9600 | |
| (570) 342-0681 |
| Full Name | Physicians Health Alliance |
|---|---|
| Speciality | Family Medicine |
| Location | 748 Quincy Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Jennifer L Jackson (SENIOR DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8778929815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Health Alliance 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7000 | Physicians Health Alliance 748 Quincy Ave Suite 1a Scranton PA 18510-1739 Ph: (570) 347-9600 |
| NPI Number | 1508143074 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 01/25/2022 |
| Medicare PECOS PAC ID | 0143487389 |
|---|---|
| Medicare Enrollment ID | O20120131000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508143074 | NPI | - | NPPES |
| 102669377-0001 | Medicaid | PA |
| Provider Name | Laura Patricia Virtue Delayo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578525929 PECOS PAC ID: 5991794042 Enrollment ID: I20040512000547 |
| Provider Name | Richard T Behlke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700856168 PECOS PAC ID: 7214903509 Enrollment ID: I20040908000819 |
| Provider Name | Harold J Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427028950 PECOS PAC ID: 7810963105 Enrollment ID: I20040908000860 |
| Provider Name | Andrea Mariss Tomassoni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104896042 PECOS PAC ID: 1557337862 Enrollment ID: I20040908001009 |
| Provider Name | Marc H Rabin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114997905 PECOS PAC ID: 8022084342 Enrollment ID: I20040908001067 |
| Provider Name | Raymond C Decesare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720058597 PECOS PAC ID: 8628044849 Enrollment ID: I20040908001114 |
| Provider Name | Gary L Reedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447220322 PECOS PAC ID: 7315913530 Enrollment ID: I20040908001149 |
| Provider Name | Maria T Bigus-coslett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841260601 PECOS PAC ID: 1153390364 Enrollment ID: I20040924000831 |
| Provider Name | Barry Lee Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033156112 PECOS PAC ID: 9335104173 Enrollment ID: I20041122000455 |
| Provider Name | Howard K Horne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356395883 PECOS PAC ID: 0446214308 Enrollment ID: I20050125000912 |
| Provider Name | Stephen G Opsasnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326015322 PECOS PAC ID: 4880649284 Enrollment ID: I20050318000340 |
| Provider Name | Lee W Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922087485 PECOS PAC ID: 7315988623 Enrollment ID: I20050517000836 |
| Provider Name | Lorraine Verrastro Kishel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811930886 PECOS PAC ID: 2062453962 Enrollment ID: I20050520000709 |
| Provider Name | Armando R Sallavanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982672523 PECOS PAC ID: 5496797201 Enrollment ID: I20050523000615 |
| Provider Name | James A Sheerer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275501819 PECOS PAC ID: 3072555317 Enrollment ID: I20050526000024 |
| Provider Name | Joellen L Gittens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346290038 PECOS PAC ID: 5799728655 Enrollment ID: I20050602000487 |
| Provider Name | Ajay Shetty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053498170 PECOS PAC ID: 9133164197 Enrollment ID: I20050621000961 |
| Provider Name | Michael G Gilhooley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093751034 PECOS PAC ID: 2365487535 Enrollment ID: I20050628000570 |
| Provider Name | Patrick D Conaboy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942289772 PECOS PAC ID: 5294771085 Enrollment ID: I20050701000305 |
| Provider Name | Michael R Klingerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285621557 PECOS PAC ID: 2365400223 Enrollment ID: I20060123000805 |
| Provider Name | Kristine Maxwel Mcnulty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699762302 PECOS PAC ID: 8628082815 Enrollment ID: I20060126000524 |
| Provider Name | John W Paulish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114922663 PECOS PAC ID: 3870500721 Enrollment ID: I20060317000051 |
| Provider Name | Joseph E Cesanek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053327106 PECOS PAC ID: 9638186950 Enrollment ID: I20060403000143 |
| Provider Name | Jennifer O Dempsey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427014521 PECOS PAC ID: 8729090147 Enrollment ID: I20060629000018 |
| Provider Name | Raymond Joseph Felins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376580456 PECOS PAC ID: 2860495108 Enrollment ID: I20060807000277 |
| Provider Name | Vikas Khurana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568419760 PECOS PAC ID: 1254334311 Enrollment ID: I20060810000500 |
| Provider Name | David Richard Mayne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588752661 PECOS PAC ID: 5193722585 Enrollment ID: I20061027000016 |
| Provider Name | Yvonne Galella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083782809 PECOS PAC ID: 1557361847 Enrollment ID: I20070111000014 |
| Provider Name | Gregory H Enders |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639251820 PECOS PAC ID: 3577667674 Enrollment ID: I20070329000411 |
| Provider Name | Mary Kathryn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285671362 PECOS PAC ID: 4183725757 Enrollment ID: I20070726000297 |
| Provider Name | Gerri A Evans |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104925999 PECOS PAC ID: 3375567183 Enrollment ID: I20071029000648 |
| Provider Name | Daniel J Kazmierski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154412138 PECOS PAC ID: 2466540422 Enrollment ID: I20071109000023 |
| Provider Name | Kenneth W Lilik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205817699 PECOS PAC ID: 9638250046 Enrollment ID: I20080111000082 |
| Provider Name | John R Guzek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861460545 PECOS PAC ID: 8921177809 Enrollment ID: I20080519000210 |
| Provider Name | Juan Jose Derojas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073581013 PECOS PAC ID: 1951473982 Enrollment ID: I20080708000161 |
| Provider Name | Jamie A Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376735571 PECOS PAC ID: 4183797285 Enrollment ID: I20080723000335 |
| Provider Name | Anuj Chopra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396712139 PECOS PAC ID: 8426122011 Enrollment ID: I20080806000599 |
| Provider Name | Suman Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619911799 PECOS PAC ID: 6406842566 Enrollment ID: I20080903000012 |
| Provider Name | Jeffrey M Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902007990 PECOS PAC ID: 4082782859 Enrollment ID: I20081007000060 |
| Provider Name | Jasdeep S Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346426830 PECOS PAC ID: 9032277355 Enrollment ID: I20081015000241 |
| Provider Name | Megan L Kolter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033385489 PECOS PAC ID: 8729142450 Enrollment ID: I20090126000203 |
| Provider Name | Kelly M Devoogd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780810192 PECOS PAC ID: 4587717624 Enrollment ID: I20090806000482 |
| Provider Name | Thomas J Hopkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649410796 PECOS PAC ID: 8426103334 Enrollment ID: I20090828000233 |
| Provider Name | Pardeep Bansal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750526141 PECOS PAC ID: 0941356778 Enrollment ID: I20090921000455 |
| Provider Name | Carmela Rita Coppola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144220849 PECOS PAC ID: 6406995596 Enrollment ID: I20091203000032 |
| Provider Name | John Diakiw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245208081 PECOS PAC ID: 4284776477 Enrollment ID: I20100127000077 |
| Provider Name | Joseph P Greco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881662567 PECOS PAC ID: 9830232370 Enrollment ID: I20100205000008 |
| Provider Name | Karen A Paczkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326000290 PECOS PAC ID: 6608910450 Enrollment ID: I20100218000042 |
| Provider Name | Michael H Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043288897 PECOS PAC ID: 9739223033 Enrollment ID: I20100225000025 |
| Provider Name | Rajan Mulloth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144282518 PECOS PAC ID: 1658416474 Enrollment ID: I20100304000644 |
| Provider Name | Julie M Speicher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275501264 PECOS PAC ID: 3678608551 Enrollment ID: I20100317000473 |
| Provider Name | Frank R Kolucki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053390583 PECOS PAC ID: 2860561727 Enrollment ID: I20100416000754 |
| Provider Name | Francis Hamm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639158108 PECOS PAC ID: 1456488709 Enrollment ID: I20100420000016 |
| Provider Name | John Drozdick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356320865 PECOS PAC ID: 1456488253 Enrollment ID: I20100428000191 |
| Provider Name | Ashley Davis Denaples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205154176 PECOS PAC ID: 8123150703 Enrollment ID: I20100716000629 |
| Provider Name | Tracey Boros Galardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699719591 PECOS PAC ID: 1052444700 Enrollment ID: I20100802000071 |
| Provider Name | Maya Spodik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356559850 PECOS PAC ID: 7214060466 Enrollment ID: I20100809000607 |
| Provider Name | Luis A Vera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922081272 PECOS PAC ID: 4880719061 Enrollment ID: I20100910000768 |
| Provider Name | Glen David Digwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043451354 PECOS PAC ID: 7517083470 Enrollment ID: I20100928001299 |
| Provider Name | Besher Kabak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831394436 PECOS PAC ID: 2567654320 Enrollment ID: I20101012000473 |
| Provider Name | Nalini G Kakimallaiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023258126 PECOS PAC ID: 4284828963 Enrollment ID: I20101027000919 |
| Provider Name | Peter Cognetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477532208 PECOS PAC ID: 0749261980 Enrollment ID: I20101102000135 |
| Provider Name | Michael L. Sunday |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336110071 PECOS PAC ID: 4981626009 Enrollment ID: I20101109000748 |
| Provider Name | Lisa R Fetterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316980303 PECOS PAC ID: 6103011507 Enrollment ID: I20101111000186 |
| Provider Name | Michael F Moore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235165168 PECOS PAC ID: 5395757967 Enrollment ID: I20101227000651 |
| Provider Name | Ariane M Conaboy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447490602 PECOS PAC ID: 9537338033 Enrollment ID: I20110817000307 |
| Provider Name | Mohammed R Chowdhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104864966 PECOS PAC ID: 9234038217 Enrollment ID: I20111028000445 |
| Provider Name | Erin Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932369626 PECOS PAC ID: 8426219437 Enrollment ID: I20120419000181 |
| Provider Name | Kathryn A Sallavanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326289836 PECOS PAC ID: 1052568425 Enrollment ID: I20120821000306 |
| Provider Name | Georges I Chamoun |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1558552521 PECOS PAC ID: 1153416193 Enrollment ID: I20120827000264 |
| Provider Name | Ayesha Usman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558590455 PECOS PAC ID: 3375794175 Enrollment ID: I20121102000396 |
| Provider Name | Tanya S Kumaria |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639379258 PECOS PAC ID: 1052487394 Enrollment ID: I20130627000640 |
| Provider Name | Sarah M Sitoski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477875219 PECOS PAC ID: 5799926903 Enrollment ID: I20130731000534 |
| Provider Name | Nathan A Greczek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255654539 PECOS PAC ID: 3476796038 Enrollment ID: I20130829000308 |
| Provider Name | Mikhail Mirer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790781946 PECOS PAC ID: 5991895401 Enrollment ID: I20131127000369 |
| Provider Name | Michael A Campenni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053313478 PECOS PAC ID: 1759450513 Enrollment ID: I20140401000910 |
| Provider Name | Ron Schey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972839082 PECOS PAC ID: 9032257324 Enrollment ID: I20140417000641 |
| Provider Name | Hussain Ali |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578723938 PECOS PAC ID: 0345372132 Enrollment ID: I20140623000009 |
| Provider Name | Tina Marie George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285923920 PECOS PAC ID: 6305063397 Enrollment ID: I20140815000046 |
| Provider Name | Jennifer Swenski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669794707 PECOS PAC ID: 5496972275 Enrollment ID: I20140819001751 |
| Provider Name | Ecaterina Sartina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922261411 PECOS PAC ID: 5799903217 Enrollment ID: I20140826000434 |
| Provider Name | Millicent Tiwaah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235457615 PECOS PAC ID: 2567689466 Enrollment ID: I20141002001831 |
| Provider Name | Lisa Jaramillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487951406 PECOS PAC ID: 2668786880 Enrollment ID: I20150731017002 |
| Provider Name | Pyone Myat Mon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528321049 PECOS PAC ID: 2961717111 Enrollment ID: I20150817001855 |
| Provider Name | Michael Vito Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386809283 PECOS PAC ID: 4284808742 Enrollment ID: I20150831002930 |
| Provider Name | Karen L Zikosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972988327 PECOS PAC ID: 0143530485 Enrollment ID: I20151117001048 |
| Provider Name | Kelsey Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043694144 PECOS PAC ID: 3274834569 Enrollment ID: I20151210000085 |
| Provider Name | Rebecca Ropoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295193878 PECOS PAC ID: 6507163839 Enrollment ID: I20160331000205 |
| Provider Name | Melissa M Bertha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770928947 PECOS PAC ID: 3971808882 Enrollment ID: I20160623000486 |
| Provider Name | Sanjay K Saxena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710326624 PECOS PAC ID: 0143514919 Enrollment ID: I20160802003043 |
| Provider Name | Charles R Hughes |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1902807282 PECOS PAC ID: 1153311865 Enrollment ID: I20160816002664 |
| Provider Name | Emily Nebzydoski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386987873 PECOS PAC ID: 7315233673 Enrollment ID: I20160913000932 |
| Provider Name | Dorly M Nerval |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366605230 PECOS PAC ID: 1254610454 Enrollment ID: I20161110001633 |
| Provider Name | Jeremy T Celestine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841633039 PECOS PAC ID: 9638449648 Enrollment ID: I20170725001446 |
| Provider Name | Seanna P Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073554614 PECOS PAC ID: 8426142480 Enrollment ID: I20171020000108 |
| Provider Name | Ghazala Farah Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285690669 PECOS PAC ID: 0547417644 Enrollment ID: I20171227000866 |
| Provider Name | Lindsay Marie Bukowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578063335 PECOS PAC ID: 7517222037 Enrollment ID: I20180601002182 |
| Provider Name | Marla Dempsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427432335 PECOS PAC ID: 4789931569 Enrollment ID: I20180725001570 |
| Provider Name | Melissa Grace Marji |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043638240 PECOS PAC ID: 6800146101 Enrollment ID: I20180907000744 |
| Provider Name | Daniel Reese Shust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720461866 PECOS PAC ID: 7315252434 Enrollment ID: I20181106002461 |
| Provider Name | Tracy Whitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437715281 PECOS PAC ID: 9133454515 Enrollment ID: I20190708000716 |
| Provider Name | Kathleen I Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942262837 PECOS PAC ID: 9032446703 Enrollment ID: I20190805001061 |
| Provider Name | Rachel Giannotti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902269905 PECOS PAC ID: 1355624883 Enrollment ID: I20190828003648 |
| Provider Name | Bridget Colleen Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609422351 PECOS PAC ID: 6002146909 Enrollment ID: I20190918003696 |
| Provider Name | Kelly Marie Worsnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861010209 PECOS PAC ID: 7719302512 Enrollment ID: I20200810002387 |
| Provider Name | Linda Sacco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598704553 PECOS PAC ID: 8325452782 Enrollment ID: I20210126000492 |
| Provider Name | Benjamin T Schurhamer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720432578 PECOS PAC ID: 9133411820 Enrollment ID: I20210622001422 |
| Provider Name | Julie Washko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639828460 PECOS PAC ID: 9739566480 Enrollment ID: I20220518000930 |
| Provider Name | Neda Danniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588221758 PECOS PAC ID: 3173992245 Enrollment ID: I20221212002241 |
| Provider Name | Nicholas Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983346 PECOS PAC ID: 7719272400 Enrollment ID: I20230227003063 |
| Provider Name | Matthew Loecher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164914040 PECOS PAC ID: 9638424377 Enrollment ID: I20230717001220 |
| Provider Name | Christine Anne Holloway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083143770 PECOS PAC ID: 1456713726 Enrollment ID: I20230817003737 |
| Provider Name | Jason Wynberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023090230 PECOS PAC ID: 9739117383 Enrollment ID: I20230918001756 |
| Provider Name | Barry Yoss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922063676 PECOS PAC ID: 5698094373 Enrollment ID: I20231018004118 |
| Provider Name | Linelle Ann Denaples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285407403 PECOS PAC ID: 3779931407 Enrollment ID: I20231119000020 |
| Provider Name | Gary Blechman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215982392 PECOS PAC ID: 3476937319 Enrollment ID: I20231120000605 |
| Provider Name | Olayemi Ajayi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477970556 PECOS PAC ID: 3072812163 Enrollment ID: I20231212000862 |
| Provider Name | John Pepen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144462615 PECOS PAC ID: 4587802731 Enrollment ID: I20240308000109 |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Mount Pleasant Drive, Scranton, PA 18503 Phone: 570-342-8500 | |
Family Urgent Care Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1831 Pittston Ave, Left Building, Scranton, PA 18505 Phone: 570-507-9517 Fax: 570-507-9520 | |
Kenneth H. Rudolph, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 Jefferson Ave, Scranton, PA 18510 Phone: 570-343-3999 Fax: 570-343-2749 | |
Pa General And Specialty Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Mulberry St, Scranton, PA 18510 Phone: 718-534-0689 | |
Medpsych Consultants Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Scranton, PA 18508 Phone: 570-558-7707 Fax: 570-880-7786 | |
Lvpg Gastroenterology - Hecktown Oaks Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Lackawanna Ave Ste 200, Scranton, PA 18503 Phone: 570-342-7864 Fax: 570-344-1255 | |
Geisinger Viewmont Sleep Disorder Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Ash St, Suite C, Scranton, PA 18509 Phone: 570-969-0162 Fax: 570-207-5529 |