| Dr Jay Scott Riccardi, MD | |
|
425 Brighton St, #303, Bethlehem, PA 18015-1273 | |
| (610) 868-1100 | |
| (610) 868-1111 |
| Full Name | Dr Jay Scott Riccardi |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 37 Years |
| Location | 425 Brighton St, Bethlehem, 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 |
|---|---|---|---|
| 1770551616 | NPI | - | NPPES |
| 01336507 | Medicaid | NY | |
| 001292349 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD428350 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Hospital - Anderson Campus | Easton, PA | Hospital |
| St Lukes Quakertown Hospital | Quakertown, PA | Hospital |
| St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progressive Physician Assoc Inc | 1355243809 | 130 |
| Progressive Physician Assoc Inc | 1355243809 | 130 |
| Entity Name | Progressive Physician Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646859 PECOS PAC ID: 1355243809 Enrollment ID: O20040123000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay Scott Riccardi, MD 95 Highland Ave, Ste 130, Bethlehem, PA 18017-9483 Ph: (610) 868-1100 | Dr Jay Scott Riccardi, MD 425 Brighton St, #303, Bethlehem, PA 18015-1273 Ph: (610) 868-1100 |
Dr. Stuart N. Pollack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 Fax: 706-653-1230 | |
Lisa M Fedullo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Brighton St, #303, Bethlehem, PA 18015 Phone: 610-868-1100 Fax: 610-868-1111 | |
Grace Fan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Radiation Oncology Dept, Bethlehem, PA 18015 Phone: 484-526-4841 Fax: 484-526-4671 | |
Dr. Ivan Michael Fras, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-868-1100 Fax: 610-868-1111 | |
Dr. William W Woodruff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 95 Highland Ave, Suite 130, Bethlehem, PA 18017 Phone: 610-868-1100 Fax: 610-868-1111 | |
William Harris Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum Street, Department Of Radiation Oncology, Bethlehem, PA 18015 Phone: 845-641-9461 | |
Bassam Al-mamoori, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 Fax: 706-653-1230 |