| Dr Jack T Martin, MD | |
|
4518 Union Deposit Rd, Harrisburg, PA 17111-2910 | |
| (717) 652-5840 | |
| (717) 652-8152 |
| Full Name | Dr Jack T Martin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 4518 Union Deposit Rd, Harrisburg, 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 |
|---|---|---|---|
| 1932159878 | NPI | - | NPPES |
| 50084215 | Other | PA | CAPITAL BLUE CROSS |
| 0017475650001 | Medicaid | PA | |
| 453061 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD063451L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger Medical Center | Danville, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Geisinger-bloomsburg Hospital | Bloomsburg, PA | Hospital |
| Geisinger-community Medical Center | Scranton, PA | Hospital |
| Geisinger Jersey Shore Hospital | Jersey shore, 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 | 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 |
|---|---|
| Dr Jack T Martin, MD 4520 Union Deposit Rd, Harrisburg, PA 17111-2910 Ph: (717) 652-6105 | Dr Jack T Martin, MD 4518 Union Deposit Rd, Harrisburg, PA 17111-2910 Ph: (717) 652-5840 |
David Choi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4520 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-531-4094 Fax: 717-531-0136 | |
Christopher Haskins, Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd, Harrisburg, PA 17109 Phone: 717-724-6740 Fax: 717-724-6741 | |
Brian P Bloom, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4520 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-652-6105 Fax: 717-652-8152 | |
Dr. David C Weksberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Lowr Level, Harrisburg, PA 17109 Phone: 717-724-6740 Fax: 717-724-6741 | |
Abimbola O Orisamolu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Lowr Level, Harrisburg, PA 17109 Phone: 717-724-6740 Fax: 717-724-6741 | |
Mark R Labuski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4518 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-652-5840 Fax: 717-652-8152 | |
Dean M Brockmole, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4518 Union Deposit Rd, Harrisburg, PA 17111 Phone: 717-652-5840 Fax: 717-652-8152 |