| Dianne R Jacobetz, MD | |
| 801 Ostrum St, Bethlehem, PA 18015-1000 | |
| (610) 954-3060 | |
| Not Available | 
| Full Name | Dianne R Jacobetz | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| 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 | 
|---|---|---|---|
| 1790882447 | NPI | - | NPPES | 
| 0017912780003 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD066462L (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 | 
|---|---|
| Dianne R Jacobetz, MD 623 E Broad St, 2nd Flr, Bethlehem, PA 18018-6332 Ph: (610) 954-6048 | Dianne R Jacobetz, MD 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (610) 954-3060 | 
| Dr. Rafael I Colon-delgado, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2223 Linden St, Bethlehem, PA 18017 Phone: 610-866-2277 | |
| David H Tauber,  Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Ostrum St # Pa, Bethlehem, PA 18015 Phone: 484-526-4000 | |
| Dr. Hassan Bozorgnia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4315 Easton Ave, Suite 1, Bethlehem, PA 18020 Phone: 610-861-8830 Fax: 610-861-0891 | |
| Afreen Subzposh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 240 Union Station Plz, Bethlehem, PA 18015 Phone: 610-654-3060 | |
| Dr. Alexandra Solosko, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 511 E 3rd St, Suite 201, Bethlehem, PA 18015 Phone: 484-526-3060 Fax: 484-526-4317 | |
| Dr. Cynthia E. Weber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 240 Union Station Plz, Bethlehem, PA 18015 Phone: 610-954-3060 | |
| Laurel Alanna Erickson-parsons, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 240 Union Station, Bethlehem, PA 18015 Phone: 610-954-3060 Fax: 610-954-4317 |