| Barry M Tice, PAC | |
|
619 Dalton St, Emmaus, PA 18049-3031 | |
| (610) 967-3646 | |
| (610) 966-8238 |
| Full Name | Barry M Tice |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 619 Dalton St, Emmaus, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437150919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA000032L (Pennsylvania) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry M Tice, PAC 623 E Broad St, 2nd Floor, Bethlehem, PA 18018-6332 Ph: (610) 965-6048 | Barry M Tice, PAC 619 Dalton St, Emmaus, PA 18049-3031 Ph: (610) 967-3646 |
Dr. Timothy Salkauskis, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1040 Chestnut St, Emmaus, PA 18049 Phone: 610-966-5549 |
Todd R Holbrook, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 Dalton St, Emmaus, PA 18049 Phone: 610-628-8200 Fax: 610-965-6595 |
Dr. Robert B Barnes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 723 Chestnut St, Emmaus, PA 18049 Phone: 610-967-4830 Fax: 484-403-4017 |
Dr. Kristen Lee Jones, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Chestnut St, Emmaus, PA 18049 Phone: 610-966-5549 Fax: 610-967-0204 |
Sam Bub, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 619 Dalton St, Emmaus, PA 18049 Phone: 610-628-8200 Fax: 610-965-6595 |
Amy Miller, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Chestnut St, Emmaus, PA 18049 Phone: 610-966-5549 |
Madalyn Schaefgen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Chestnut St, Emmaus, PA 18049 Phone: 610-966-5549 Fax: 610-967-0204 |