| Dr Peter Favini, MD | |
|
1872 Riverside Cir, Easton, PA 18045-5669 | |
| (484) 503-1200 | |
| (484) 503-1206 |
| Full Name | Dr Peter Favini |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1872 Riverside Cir, Easton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629024708 | NPI | - | NPPES |
| 000963690003 | Medicaid | PA | |
| 930092699 | Other | PA | RAILROAD MEDICARE |
| FA108883 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD031795E (Pennsylvania) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Favini, MD 1872 Riverside Cir, Easton, PA 18045-5669 Ph: (484) 503-1200 | Dr Peter Favini, MD 1872 Riverside Cir, Easton, PA 18045-5669 Ph: (484) 503-1200 |
Aaron Fedor, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 484-526-2228 | |
Dr. Logan James Hellinger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 484-526-1000 | |
Dr. Dustin William Wells, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 484-526-1000 | |
Michael Omead Ghodsi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 484-526-1000 | |
Michael Kotil, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 484-526-1000 | |
Jaskiran Dulai, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 484-526-1000 | |
Aerin Julian Bard, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 484-503-3073 |