| Dr Fortunata Verdetti, MD | |
|
2128 Blakeslee Boulevard Dr E, Lehighton, PA 18235-9619 | |
| (610) 402-5369 | |
| Not Available |
| Full Name | Dr Fortunata Verdetti |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 2128 Blakeslee Boulevard Dr E, Lehighton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386851855 | NPI | - | NPPES |
| 101954269-0003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD431433 (Pennsylvania) | Primary |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Trinity Health Mid-atlantic Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982361 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613 |
| Entity Name | Advanced Inpatient Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871725366 PECOS PAC ID: 6406995778 Enrollment ID: O20091125000458 |
| Entity Name | Advanced Inpatient Medicine Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396168589 PECOS PAC ID: 8921230749 Enrollment ID: O20140410000089 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fortunata Verdetti, MD P O Box 1096, Kingston, PA 18704-0096 Ph: (570) 208-5534 | Dr Fortunata Verdetti, MD 2128 Blakeslee Boulevard Dr E, Lehighton, PA 18235-9619 Ph: (610) 402-5369 |
Dr. Mohammad Fawwad Khan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 500 St Lukes Dr, Lehighton, PA 18235 Phone: 484-526-6643 Fax: 484-526-4658 |