| Dr Jolly Lozano Ombao, MD | |
|
25 Church St, Wilkes Barre, PA 18702-3507 | |
| (570) 808-3100 | |
| (570) 808-8739 |
| Full Name | Dr Jolly Lozano Ombao |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 20 Years |
| Location | 25 Church St, Wilkes Barre, 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 |
|---|---|---|---|
| 1487891255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 60251679 (New York) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | MD440826 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Geisinger-community Medical Center | Scranton, PA | Hospital |
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Geisinger-bloomsburg Hospital | Bloomsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jolly Lozano Ombao, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Jolly Lozano Ombao, MD 25 Church St, Wilkes Barre, PA 18702-3507 Ph: (570) 808-3100 |
Glenn E Weaver, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 | |
Laureen Helen Sheypuk, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855 | |
Dr. Michael Trakas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855 | |
Susan Dulka, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7779 Fax: 570-808-5390 | |
John M Treven, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 | |
Dr. Ryan J. Ness, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 Church St, Wilkes Barre, PA 18765 Phone: 570-808-8740 Fax: 570-808-8739 | |
Joseph Filler, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 |