| Dr Daniel John Dudrick, MD | |
|
239 S Mountain Blvd, Suite 100, Mountain Top, PA 18707-1911 | |
| (570) 474-9300 | |
| (570) 474-0962 |
| Full Name | Dr Daniel John Dudrick |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 239 S Mountain Blvd, Mountain Top, 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 |
|---|---|---|---|
| 1003825506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD438396 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Commonwealth Home Health & Hospice Of Wilkes-barre | Forty fort, PA | Home health agency |
| Angel's Touch Home Care, Llc | West pittston, PA | Home health agency |
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Lehigh Valley Hospital - Hazleton | Hazleton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Physician Network Llc | 2668696592 | 62 |
| Entity Name | Commonwealth Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003238635 PECOS PAC ID: 2668696592 Enrollment ID: O20140617000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel John Dudrick, MD 610 Wyoming Ave, Kingston, PA 18704-3702 Ph: (570) 288-5441 | Dr Daniel John Dudrick, MD 239 S Mountain Blvd, Suite 100, Mountain Top, PA 18707-1911 Ph: (570) 474-9300 |
Richard L Lehnert, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 160 Forest Rd, Mountain Top, PA 18707 Phone: 803-351-4393 Fax: 803-351-4393 | |
Dr. Michael D Roberts, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 713 Ice House Dr, Mountain Top, PA 18707 Phone: 570-843-1972 | |
Michael Anthony Moclock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 239 S Mountain Blvd, Suite 600, Mountain Top, PA 18707 Phone: 570-474-9300 Fax: 570-474-0962 | |
Amanda M T Godfrey, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 35 S Mountain Blvd, Mountain Top, PA 18707 Phone: 570-474-5978 Fax: 570-474-5485 | |
Dr. Irene Diane Lucas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 62 N Mountain Blvd, Mountain Top, PA 18707 Phone: 570-474-6562 Fax: 570-474-0796 | |
Dr. Jennifer A. Wheeler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 S Mountain Blvd, Mountain Top, PA 18707 Phone: 570-474-5978 Fax: 570-474-5485 |