| Camilo Alcoseba, MD | |
|
801 Ostrum St, St. Luke's Hospital, Bethlehem, PA 18015-1000 | |
| (610) 954-4300 | |
| Not Available |
| Full Name | Camilo Alcoseba |
|---|---|
| Gender | Male |
| Speciality | Radiology - Therapeutic Radiology |
| Location | 801 Ostrum St, Bethlehem, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689627697 | NPI | - | NPPES |
| 01864893 | Medicaid | PA | |
| 920006466 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | MD037211L (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 |
|---|---|
| Camilo Alcoseba, MD Po Box 20725, Lehigh Valley, PA 18002-0725 Ph: () - | Camilo Alcoseba, MD 801 Ostrum St, St. Luke's Hospital, Bethlehem, PA 18015-1000 Ph: (610) 954-4300 |
Dr. Stuart N. Pollack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 Fax: 706-653-1230 | |
Lisa M Fedullo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Brighton St, #303, Bethlehem, PA 18015 Phone: 610-868-1100 Fax: 610-868-1111 | |
Grace Fan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Radiation Oncology Dept, Bethlehem, PA 18015 Phone: 484-526-4841 Fax: 484-526-4671 | |
Dr. Ivan Michael Fras, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-868-1100 Fax: 610-868-1111 | |
Dr. William W Woodruff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 95 Highland Ave, Suite 130, Bethlehem, PA 18017 Phone: 610-868-1100 Fax: 610-868-1111 | |
William Harris Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum Street, Department Of Radiation Oncology, Bethlehem, PA 18015 Phone: 845-641-9461 | |
Bassam Al-mamoori, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 Fax: 706-653-1230 |