| Dr Kathryn Ann Sallavanti, DO | |
|
315 S Main St, Old Forge, PA 18518-1606 | |
| (570) 457-8364 | |
| (570) 457-9635 |
| Full Name | Dr Kathryn Ann Sallavanti |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 315 S Main St, Old Forge, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326289836 | NPI | - | NPPES |
| 1027430260001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS016121 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Comprehensive Medical Home Care | Dupont, PA | Home health agency |
| Hospice Of The Sacred Heart | Wilkes barre, PA | Hospice |
| Regional Hospital Of Scranton | Scranton, PA | Hospital |
| Geisinger-community Medical Center | Scranton, PA | Hospital |
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scranton Quincy Clinic Company Llc | 0143487389 | 70 |
| Entity Name | Scranton Quincy Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathryn Ann Sallavanti, DO 315 S Main St, Old Forge, PA 18518-1606 Ph: (570) 457-8364 | Dr Kathryn Ann Sallavanti, DO 315 S Main St, Old Forge, PA 18518-1606 Ph: (570) 457-8364 |
Dr. Dana Marie Montgomery, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 S Main St, Old Forge, PA 18518 Phone: 570-457-8364 Fax: 570-457-9635 | |
Dr. Darlene Ann Dunay, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 314 Oak St, Old Forge, PA 18518 Phone: 570-457-7150 Fax: 570-457-8611 | |
Dr. Armando R Sallavanti, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 S Main St, Old Forge, PA 18518 Phone: 570-457-8364 Fax: 570-457-9635 |