| Miriam Caroline Omalley, DMD | |
|
550 3rd Ave, Ste 1, Kingston, PA 18704-5806 | |
| (570) 288-9070 | |
| (570) 288-4201 |
| Full Name | Miriam Caroline Omalley |
|---|---|
| Gender | Female |
| Speciality | Oral Surgery |
| Experience | 35 Years |
| Location | 550 3rd Ave, Kingston, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154419042 | NPI | - | NPPES |
| 01696297 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 027676L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wyoming Valley Oral Surgery Pllc | 4981053048 | 4 |
| Entity Name | Callahan And Bergey Associates P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770557118 PECOS PAC ID: 0244219830 Enrollment ID: O20040716000878 |
| Entity Name | Wyoming Valley Oral Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831962323 PECOS PAC ID: 4981053048 Enrollment ID: O20231214001275 |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Caroline Omalley, DMD 550 3rd Ave, Ste 1, Kingston, PA 18704-5806 Ph: (570) 288-9070 | Miriam Caroline Omalley, DMD 550 3rd Ave, Ste 1, Kingston, PA 18704-5806 Ph: (570) 288-9070 |
Dr. Timothy M Opiel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Warren Ave, Kingston, PA 18704 Phone: 570-288-3697 Fax: 570-288-7723 | |
Dr. Richard A Brown, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 487 Northampton St, Kingston, PA 18704 Phone: 570-288-4591 Fax: 570-714-7793 | |
Dr. Thomas M Doran, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 335 3rd Ave, Kingston, PA 18704 Phone: 570-283-1750 Fax: 570-283-1752 | |
Dr. Ronald Thomas Shevock, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 220 Pierce St, Kingston, PA 18704 Phone: 570-288-3855 | |
Dr. Paul J Henry, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 693 Wyoming Ave, Kingston, PA 18704 Phone: 570-714-4343 Fax: 570-718-6668 | |
Dr. Gary A. Hughes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 172 United Penn Plz, Kingston, PA 18704 Phone: 570-287-3350 |