| Dr Brian James Connolly, MD | |
|
1 Hospital Dr, Emergency Department, Lewisburg, PA 17837-9350 | |
| (570) 522-2640 | |
| (570) 768-3921 |
| Full Name | Dr Brian James Connolly |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Hospital Dr, Lewisburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245524214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD450777 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | MD450777 (Pennsylvania) | Primary |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Entity Name | Emergency Care Services Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian James Connolly, MD 1 Hospital Dr, Suite 306, Lewisburg, PA 17837-9350 Ph: (570) 522-4144 | Dr Brian James Connolly, MD 1 Hospital Dr, Emergency Department, Lewisburg, PA 17837-9350 Ph: (570) 522-2640 |
Dr. Phillip Robert Peterson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: One Hospital Drive, Lewisburg, PA 17837 Phone: 570-522-2640 Fax: 570-768-3921 | |
Nicholas J Julius, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 | |
Randi J. Mcleod, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 Fax: 570-768-3921 | |
Traci Louise Farley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4110 Fax: 570-768-3911 | |
Michael Anthony Donegan, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4110 Fax: 570-768-3911 | |
Debra Irene Stoner, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4110 Fax: 570-522-4120 | |
Eliza S Reed, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 |