| Dr Charles J Kovalchick, DO | |
|
543 Easton Tpke, Lake Ariel, PA 18436-4718 | |
| (570) 689-9965 | |
| (570) 689-0387 |
| Full Name | Dr Charles J Kovalchick |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 543 Easton Tpke, Lake Ariel, 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 |
|---|---|---|---|
| 1144215682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS009495L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Personal Home Healthcare And Hospice | Dunmore, PA | Home health agency |
| Traditional Home Health Care | Dunmore, PA | Home health agency |
| Interim Healthcare Services Of Ne Pa, Inc. | Blakely, PA | Home health agency |
| Wayne Memorial Hospital | Honesdale, PA | Hospital |
| Geisinger-community Medical Center | Scranton, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Regional Hospital Of Scranton | Scranton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wayne Memorial Community Health Centers | 3072598937 | 21 |
| Entity Name | Wayne Memorial Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles J Kovalchick, DO 300 W King St, Littlestown, PA 17340-1446 Ph: (717) 359-9214 | Dr Charles J Kovalchick, DO 543 Easton Tpke, Lake Ariel, PA 18436-4718 Ph: (570) 689-9965 |
Derek Jay Bowers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 543 Easton Tpke Ste 105, Lake Ariel, PA 18436 Phone: 570-689-9965 Fax: 570-689-0387 |