| Brian David Mott, MD | |
|
720 Madison Ave, Scranton, PA 18510-1609 | |
| (570) 343-1115 | |
| (570) 343-5865 |
| Full Name | Brian David Mott |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 33 Years |
| Location | 720 Madison Ave, Scranton, 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 |
|---|---|---|---|
| 1639165111 | NPI | - | NPPES |
| 01844694 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD073573L (Pennsylvania) | Secondary |
| 174400000X | Specialist | MD-073573L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Traditional Home Health Care | Dunmore, PA | Home health agency |
| Regional Hospital Of Scranton | Scranton, PA | Hospital |
| Wayne Memorial Hospital | Honesdale, PA | Hospital |
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Geisinger-community Medical Center | Scranton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scranton Cardiovascular Physician Services Llc | 6204097975 | 18 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Scranton Hospitalist Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023317849 PECOS PAC ID: 7719163831 Enrollment ID: O20110525000205 |
| Entity Name | Scranton Cardiovascular Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366725418 PECOS PAC ID: 6204097975 Enrollment ID: O20120406000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian David Mott, MD 610 Wyoming Ave, Kingston, PA 18704-3702 Ph: (570) 288-5441 | Brian David Mott, MD 720 Madison Ave, Scranton, PA 18510-1609 Ph: (570) 343-1115 |