| Dariusz Piotr Bulczak, MD | |
|
1000 East Mountain Blvd, Wilkes-barre, PA 18711-3446 | |
| (570) 808-7779 | |
| (570) 808-5390 |
| Full Name | Dariusz Piotr Bulczak |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 1000 East Mountain Blvd, Wilkes-barre, 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 |
|---|---|---|---|
| 1124011044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 220495 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD433190 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger Medical Center | Danville, PA | Hospital |
| Geisinger-community Medical Center | Scranton, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger-hm Joint Venture Llc | 1355676370 | 324 |
| Geisinger Clinic | 5395657001 | 3078 |
| 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 | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20091002000044 |
| 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 |
|---|---|
| Dariusz Piotr Bulczak, MD 100 North Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-7779 | Dariusz Piotr Bulczak, MD 1000 East Mountain Blvd, Wilkes-barre, PA 18711-3446 Ph: (570) 808-7779 |
Dr. Seong Cheol Oh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd., Wilkes-barre, PA 18711 Phone: 570-808-7779 Fax: 570-808-5390 |