| Michael Weisner, | |
|
2901 Jolly Rd, Plymouth Meeting, PA 19462-2324 | |
| (610) 272-8221 | |
| (610) 272-5655 |
| Full Name | Michael Weisner |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 2901 Jolly Rd, Plymouth Meeting, 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 |
|---|---|---|---|
| 1114966850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD029362E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| 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 |
|---|---|---|
| Suburban Geriatrics Ii Pc | 9537552419 | 88 |
| Entity Name | Suburban Geriatric's, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679594808 PECOS PAC ID: 4486551371 Enrollment ID: O20031218000064 |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023065885 PECOS PAC ID: 2264336460 Enrollment ID: O20040415000779 |
| Entity Name | Suburban Geriatrics Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073273363 PECOS PAC ID: 9537552419 Enrollment ID: O20220217001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Weisner, 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: () - | Michael Weisner, 2901 Jolly Rd, Plymouth Meeting, PA 19462-2324 Ph: (610) 272-8221 |
Dr. Mirza Ijaz Rahman, M.D., M.P.H. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Germantown Pike, Plymouth Meeting, PA 19462 Phone: 610-275-3884 | |
Janis W. Rubin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4070 Butler Pike Ste 200, Plymouth Meeting, PA 19462 Phone: 610-825-5741 Fax: 610-825-2501 | |
Himasha Gunasekara, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 | |
Alexander I Kiotis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 Fax: 610-272-5655 | |
Dr. Carl Burnett, D.O., F.A.A.F.P. Family Medicine Medicare: Medicare Enrolled Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 Fax: 610-272-5655 | |
Dr. Michael L. Peck, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 717-451-5956 |