| Dr Michael James Mahoney, DO | |
|
50 Moisey Dr Ste 214, Hazle Township, PA 18202-9297 | |
| (570) 501-6900 | |
| (570) 501-6945 |
| Full Name | Dr Michael James Mahoney |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 16 Years |
| Location | 50 Moisey Dr Ste 214, Hazle Township, 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 |
|---|---|---|---|
| 1912278334 | NPI | - | NPPES |
| 103053833-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OT013657 (Pennsylvania) | Secondary |
| 208600000X | Surgery | OS017757 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital - Hazleton | Hazleton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2138 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Hazleton Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael James Mahoney, DO Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Dr Michael James Mahoney, DO 50 Moisey Dr Ste 214, Hazle Township, PA 18202-9297 Ph: (570) 501-6900 |
Dr. Jonathan G Perry, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Moisey Dr Ste 214, Hazle Township, PA 18202 Phone: 570-501-6900 Fax: 570-501-6945 | |
Mboutidem Etokakpan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Moisey Dr, Hazle Township, PA 18202 Phone: 570-501-6900 Fax: 570-501-6945 | |
Dr. Anthony Michael Carrato, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Moisey Dr Ste 214, Hazle Township, PA 18202 Phone: 570-501-6900 Fax: 570-501-6945 |