Dr Theodore Brian Doherty, DO | |
1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | |
(610) 402-2537 | |
Not Available |
Full Name | Dr Theodore Brian Doherty |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 6 Years |
Location | 1200 S Cedar Crest Blvd, Allentown, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881185544 | NPI | - | NPPES |
OT018402 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OT018402 (Pennsylvania) | Primary |
207P00000X | Emergency Medicine | 19301 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Watsonville Community Hospital | Watsonville, CA | Hospital |
Natividad Medical Center | Salinas, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America - California | 6103739131 | 974 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore Brian Doherty, DO 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: () - | Dr Theodore Brian Doherty, DO 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: (610) 402-2537 |
Dr. Veronica Petra, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1736 Hamilton St, Allentown, PA 18104 Phone: 844-526-4000 | |
Alex Rosenau, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8111 | |
John Mccarthy, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8111 | |
David Eric Wiand, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1736 W Hamilton St, Allentown, PA 18104 Phone: 610-628-8384 | |
Dr. Susan K Yaeger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-9750 Fax: 610-402-9763 | |
Dr. Jarod Berggren, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000 | |
Tyler Frank Willing, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8111 |