| Dr Dino J Baca, DO | |
|
1 Hospital Dr, Lewisburg, PA 17837-9350 | |
| (570) 522-4260 | |
| (570) 768-3704 |
| Full Name | Dr Dino J Baca |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1 Hospital Dr, Lewisburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871580860 | NPI | - | NPPES |
| 0017945380009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS009525L (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dino J Baca, DO 1 Hospital Dr Ste 306, Lewisburg, PA 17837-9350 Ph: (570) 522-4110 | Dr Dino J Baca, DO 1 Hospital Dr, Lewisburg, PA 17837-9350 Ph: (570) 522-4260 |
Dr. Elam R Stoltzfus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Shalini Khurana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Dr. Jay Marlin Nissley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Mrs. Dana Marie Smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 | |
Dr. David M Castellan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3465 | |
Cathy Ruifang Xu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4264 | |
Dr. Eric J. Schuck, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Medical Park Dr, Lewisburg, PA 17837 Phone: 570-523-3264 Fax: 570-523-3475 |