| Dr Peter B Trevouledes, MD | |
|
10 Shady Ln Ste 202, Muncy, PA 17756-8807 | |
| (570) 546-3633 | |
| (570) 546-3663 |
| Full Name | Dr Peter B Trevouledes |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 37 Years |
| Location | 10 Shady Ln Ste 202, Muncy, 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 |
|---|---|---|---|
| 1972538767 | NPI | - | NPPES |
| 0016319440003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD061452L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Muncy | Muncy, PA | Hospital |
| Upmc Williamsport | Williamsport, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Susquehanna Physician Services | 2264336460 | 611 |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881622868 PECOS PAC ID: 2264336460 Enrollment ID: O20040419001335 |
| Entity Name | Bernstein, Hilliker, Hartzell Eye Center, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942390745 PECOS PAC ID: 0244216018 Enrollment ID: O20040624000995 |
| Entity Name | Bernstein, Hilliker, Hartzell Eye Center, LLP |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1245331628 PECOS PAC ID: 0244216018 Enrollment ID: O20041217000031 |
| Entity Name | UPMC Wellsboro |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1427501766 PECOS PAC ID: 5294710414 Enrollment ID: O20160913001277 |
| Entity Name | UPMC Wellsboro |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275090433 PECOS PAC ID: 5294710414 Enrollment ID: O20190709001759 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter B Trevouledes, MD 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: (570) 326-8723 | Dr Peter B Trevouledes, MD 10 Shady Ln Ste 202, Muncy, PA 17756-8807 Ph: (570) 546-3633 |