| Dr Damon R Soeiro, MD | |
|
1 Medical Center Blvd, Crozer-chester Medical Center; Dept. Radiology, Upland, PA 19013-3902 | |
| (610) 447-2595 | |
| Not Available |
| Full Name | Dr Damon R Soeiro |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 1 Medical Center Blvd, Upland, 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 |
|---|---|---|---|
| 1023097250 | NPI | - | NPPES |
| 2103478 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 223821 (Massachusetts) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD428474 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Hospital - Anderson Campus | Easton, PA | Hospital |
| St Lukes Quakertown Hospital | Quakertown, PA | Hospital |
| St Luke's Warren Hospital | Phillipsburg, NJ | Hospital |
| St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progressive Physician Assoc Inc | 1355243809 | 130 |
| Progressive Physician Assoc Inc | 1355243809 | 130 |
| Entity Name | Southeast Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790779684 PECOS PAC ID: 9133025232 Enrollment ID: O20031210000107 |
| Entity Name | Progressive Physician Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646859 PECOS PAC ID: 1355243809 Enrollment ID: O20040123000977 |
| Entity Name | Southeast Medical Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497784177 PECOS PAC ID: 3274561923 Enrollment ID: O20050803000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Damon R Soeiro, MD 1 Medical Center Blvd, Crozer-chester Medical Center; Dept. Of Radiology, Upland, PA 19013-3902 Ph: (610) 447-2595 | Dr Damon R Soeiro, MD 1 Medical Center Blvd, Crozer-chester Medical Center; Dept. Radiology, Upland, PA 19013-3902 Ph: (610) 447-2595 |
John Hiehle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 | |
Dr. Caroline Amy Wilson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-874-1515 Fax: 610-874-1511 | |
Adam R Fisher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 | |
Irene Woo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 | |
Krish Ramprasad, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 | |
Patricia H Saluk, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 |