| Dr Anthony Alan Wylie, DO | |
|
300 Keystone Ave, Pittston, PA 18640-6153 | |
| (833) 552-1852 | |
| (570) 214-1525 |
| Full Name | Dr Anthony Alan Wylie |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 300 Keystone Ave, Pittston, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295992204 | NPI | - | NPPES |
| 1023187380001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS014176 (Pennsylvania) | Primary |
| 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 | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Alan Wylie, DO 100 N Academy Ave, Credentials Dept, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Anthony Alan Wylie, DO 300 Keystone Ave, Pittston, PA 18640-6153 Ph: (833) 552-1852 |
Dr. Thomas Howard Tonkin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Keystone Ave, Pittston, PA 18640 Phone: 833-552-1852 Fax: 570-214-1525 | |
Ripal Patel, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 42 Main St, Pittston, PA 18640 Phone: 570-654-0880 | |
Dr. Michalene Torbik, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1099 S Township Blvd, Pittston, PA 18640 Phone: 570-655-1496 Fax: 570-883-7446 | |
Dr. Lisa Catherine Tricarico, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 457 North Main St, Ste 105, Pittston, PA 18640 Phone: 570-883-9444 Fax: 570-883-9333 | |
Cassandra Lynn Tunis, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 North Main Street, Pittston, PA 18640 Phone: 570-654-0880 Fax: 570-655-9857 | |
Saima Sarmin Mukta, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 N Main St, Pittston, PA 18640 Phone: 570-654-0880 |