Kevin J Kriesel, MD | |
401 N 17th St, Suite 210, Allentown, PA 18104-5034 | |
(610) 969-4950 | |
(610) 969-4960 |
Full Name | Kevin J Kriesel |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 401 N 17th St, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720093883 | NPI | - | NPPES |
151036401 | Medicaid | TX | |
151036402 | Medicaid | TX | |
151036403 | Medicaid | TX | |
040017071 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | L3721 (Texas) | Secondary |
207Y00000X | Otolaryngology | MD457864 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
---|---|
Kevin J Kriesel, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Kevin J Kriesel, MD 401 N 17th St, Suite 210, Allentown, PA 18104-5034 Ph: (610) 969-4950 |
Robert Dedio, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1575 Pond Rd, Ste 203, Allentown, PA 18104 Phone: 610-366-1366 | |
Dr. Robert D Strauss, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4734 Lynnfield Ln, South Gate, Allentown, PA 18104 Phone: 610-391-1810 | |
Hilary Koprowski Ii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1575 Pond Rd, Ste 203, Allentown, PA 18104 Phone: 610-366-1366 Fax: 610-366-7412 | |
Niketu Patel, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1575 Pond Rd, Ste 203, Allentown, PA 18104 Phone: 610-366-1366 Fax: 610-366-7412 | |
Paul Stuart Lemberg, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1575 Pond Rd, Ste 203, Allentown, PA 18104 Phone: 610-366-1366 Fax: 610-366-7412 | |
John S Papola, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 250 Sylvia Ln, Allentown, PA 18104 Phone: 610-481-0895 | |
Dr. Karen Shemanski, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1575 Pond Rd Ste 203, Allentown, PA 18104 Phone: 610-366-1366 |