| Tri County Ear Nose & Throat Pc | |
|
650 Park St Honesdale PA 18431 | |
| (570) 253-0202 | |
| (570) 253-1701 |
| Full Name | Tri County Ear Nose & Throat Pc |
|---|---|
| Speciality | Otolaryngology |
| Location | 650 Park St, Honesdale, Pennsylvania |
| Authorized Official Name and Position | Philip G Liu (OWNER) |
| Authorized Official Contact | 5702530202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Ear Nose & Throat Pc 650 Park St Honesdale PA 18431 Ph: (570) 253-0202 | Tri County Ear Nose & Throat Pc 650 Park St Honesdale PA 18431 Ph: (570) 253-0202 |
| NPI Number | 1043329030 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 12/09/2015 |
| Medicare PECOS PAC ID | 7719059625 |
|---|---|
| Medicare Enrollment ID | O20080710000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043329030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
| Provider Name | Philip G Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316055122 PECOS PAC ID: 6507938412 Enrollment ID: I20080710000116 |
| Provider Name | Rosita O Liu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649388554 PECOS PAC ID: 3971675794 Enrollment ID: I20080710000304 |
| Provider Name | Lisa A Skold |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780793489 PECOS PAC ID: 9436208592 Enrollment ID: I20090519000641 |
Wayne Memorial Hospital Spu Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Park St, Honesdale, PA 18431 Phone: 570-253-8100 Fax: 570-253-8425 | |
Philip C Gutherz Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Maple Ave Fl 2, Honesdale, PA 18431 Phone: 570-253-7150 Fax: 570-253-7152 | |
Highland Physicians, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1839 Fair Ave, Honesdale, PA 18431 Phone: 570-251-6500 Fax: 570-253-8174 | |
Philip C. Gutherz, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Maple Avenue, 2nd Floor, Honesdale, PA 18431 Phone: 570-253-7150 | |
Highland Physicians, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1839 Fair Ave, Honesdale, PA 18431 Phone: 570-251-6500 Fax: 570-253-8174 | |
Waymart Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Park St, Honesdale, PA 18431 Phone: 570-251-6676 Fax: 570-251-6668 |