| Dr Jesus Roberto Vergara, MD | |
|
111 E Catherine St, Suite 110, Milford, PA 18337-1347 | |
| (570) 296-4600 | |
| (570) 409-1965 |
| Full Name | Dr Jesus Roberto Vergara |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 44 Years |
| Location | 111 E Catherine St, Milford, 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 |
|---|---|---|---|
| 1699752642 | NPI | - | NPPES |
| 6749305 | Medicaid | NJ | |
| 010050488 | Other | NJ | NJ RAILROAD MEDICARE |
| 010051532 | Other | PA | PA RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD038493E (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | 25MA04749800 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Residential Healthcare Of Ne Pa, Llc | Kingston, PA | Home health agency |
| Morristown Medical Center | Morristown, NJ | Hospital |
| Wayne Memorial Hospital | Honesdale, PA | Hospital |
| Newton Medical Center | Newton, NJ | Hospital |
| Bon Secours Community Hospital | Port jervis, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Associates Llc | 0840283008 | 40 |
| Premier Health Associates Llc | 0840283008 | 40 |
| Entity Name | Premier Health Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043257991 PECOS PAC ID: 0840283008 Enrollment ID: O20041209000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jesus Roberto Vergara, MD 532 Lafayette Rd, Suite 300, Sparta, NJ 07871-4411 Ph: (973) 940-0423 | Dr Jesus Roberto Vergara, MD 111 E Catherine St, Suite 110, Milford, PA 18337-1347 Ph: (570) 296-4600 |
Dr. Richard Earl Buckley, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 W Harford St, Milford, PA 18337 Phone: 570-296-4000 | |
Martin L Evers, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Bennett Ave, Milford, PA 18337 Phone: 570-409-0321 Fax: 570-409-8642 | |
Marina Buckley, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 W Harford St, Milford, PA 18337 Phone: 570-296-4000 | |
Dr. Charles Howell Blewett, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 143 Foxcroft Dr, Milford, PA 18337 Phone: 570-296-6226 | |
Bonnie L Chen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Route 6 And 209, Suite 8, Milford, PA 18337 Phone: 570-296-5950 Fax: 570-296-1066 | |
Shalini C Byadgi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Broad St, Milford, PA 18337 Phone: 570-296-2818 Fax: 570-409-1702 |