| Dr Graciela Catalina Bianco, MD | |
|
426 Airport Road Ste 134, Beltway Commons, Hazleton, PA 18202-3840 | |
| (570) 501-7512 | |
| (570) 501-7515 |
| Full Name | Dr Graciela Catalina Bianco |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 426 Airport Road Ste 134, Hazleton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740230978 | NPI | - | NPPES |
| 1018576950001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD430628 (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 |
| Entity Name | Caring Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679038293 PECOS PAC ID: 5698004588 Enrollment ID: O20190830001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Graciela Catalina Bianco, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Graciela Catalina Bianco, MD 426 Airport Road Ste 134, Beltway Commons, Hazleton, PA 18202-3840 Ph: (570) 501-7512 |
Bethany Anne Venit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 881 N Church St, Hazleton, PA 18201 Phone: 570-455-8557 Fax: 570-459-6832 | |
Dr. Diego De Jesus Gonzalez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 564 W Broad St, Hazleton, PA 18201 Phone: 484-884-4500 | |
Stephan R Glicken, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 564 W Broad St, Hazleton, PA 18201 Phone: 570-501-6400 Fax: 570-453-2353 | |
Mr. Bassam Faiz Bittar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 564 W. Broad St., Hazleton, PA 18201 Phone: 570-501-6400 Fax: 570-453-2353 | |
Dr. James Francis Caggiano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 564 W Broad St, Hazleton, PA 18201 Phone: 570-501-6400 Fax: 570-453-2353 | |
Dr. Kailas D Dave, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 316 Goshen Avenue, Hazleton, PA 18201 Phone: 570-436-1635 Fax: 570-434-1635 |