| Michael C Baloga Dpm, Pc | |
|
810 Wyoming Ave, West Pittston, PA 18643-2768 | |
| (570) 654-4371 | |
| (570) 654-0455 |
| Full Name | Michael C Baloga Dpm, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 810 Wyoming Ave, West Pittston, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972781250 | NPI | - | NPPES |
| 1028012370001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | SC003071L (Pennsylvania) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC003071L (Pennsylvania) | Secondary |
| Provider Name | Michael C Baloga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679666580 PECOS PAC ID: 2668526526 Enrollment ID: I20090812000601 |
| Provider Name | Felicia C Bock |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477840072 PECOS PAC ID: 1254558620 Enrollment ID: I20140807001756 |
| Provider Name | Michael C Baloga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447632294 PECOS PAC ID: 3870845308 Enrollment ID: I20181011001658 |
| Provider Name | Kayla Baloga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164943817 PECOS PAC ID: 2961827274 Enrollment ID: I20200804001718 |
| Provider Name | Nicholas Andrew Keefer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679003537 PECOS PAC ID: 7012332265 Enrollment ID: I20200804003662 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Baloga Dpm, Pc 810 Wyoming Ave, West Pittston, PA 18643-2768 Ph: (570) 654-4371 | Michael C Baloga Dpm, Pc 810 Wyoming Ave, West Pittston, PA 18643-2768 Ph: (570) 654-4371 |
Dr. Kayla Baloga, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 810 Wyoming Ave, West Pittston, PA 18643 Phone: 570-654-4371 Fax: 570-654-0455 | |
Adam Wesley Burke, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 810 Wyoming Ave, West Pittston, PA 18643 Phone: 570-654-4371 Fax: 570-654-0455 | |
Felicia Bock, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 810 Wyoming Ave, West Pittston, PA 18643 Phone: 570-654-4371 Fax: 570-654-0455 | |
Dr. Nicholas Andrew Keefer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 810 Wyoming Ave, West Pittston, PA 18643 Phone: 570-654-4371 Fax: 570-654-0455 | |
Dr. Michael C Baloga, DPM, PC Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 810 Wyoming Ave, West Pittston, PA 18643 Phone: 570-654-4371 Fax: 570-654-0455 |