| Adrian Secheresiu, MD | |
|
500 1st St, Weatherly, PA 18255-1506 | |
| (570) 427-8643 | |
| (570) 427-8044 |
| Full Name | Adrian Secheresiu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 500 1st St, Weatherly, 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 |
|---|---|---|---|
| 1861473415 | NPI | - | NPPES |
| 002254 | Other | PA | FIRST PRIORITY HEALTH |
| 0014048480004 | Medicaid | PA | |
| 001404848-0005 | Medicaid | PA | |
| 0000695289 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35 06 1594 S (Ohio) | Secondary |
| 207R00000X | Internal Medicine | MD042955L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital - Hazleton | Hazleton, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2138 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Hazleton Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Secheresiu, MD Po Box 783311, Philadelphia, PA 19178-3331 Ph: (484) 884-4500 | Adrian Secheresiu, MD 500 1st St, Weatherly, PA 18255-1506 Ph: (570) 427-8643 |
Emilia Secheresiu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 First St, Weatherly, PA 18255 Phone: 570-427-8643 Fax: 570-427-8044 |