| Dr Rajan Mulloth, MD | |
|
1400 Main St, Peckville, PA 18452-2009 | |
| (570) 383-0236 | |
| (570) 383-3681 |
| Full Name | Dr Rajan Mulloth |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 1400 Main St, Peckville, 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 |
|---|---|---|---|
| 1144282518 | NPI | - | NPPES |
| 0015887090009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD057843L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Services Of Ne Pa, Inc. | Blakely, PA | Home health agency |
| Commonwealth Home Health Of Moses Taylor | Scranton, PA | Home health agency |
| Southeastern Home Health Services | Bristol, 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 |
| Wayne Memorial Hospital | Honesdale, 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 |
| Entity Name | Hospitalist Services At Moses Taylor, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497366207 PECOS PAC ID: 7911326509 Enrollment ID: O20201001000073 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rajan Mulloth, MD 1400 Main St, Peckville, PA 18452-2009 Ph: (570) 383-0236 | Dr Rajan Mulloth, MD 1400 Main St, Peckville, PA 18452-2009 Ph: (570) 383-0236 |
Randall George Brundage, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 320 Keystone Ave, Peckville, PA 18452 Phone: 570-489-0871 Fax: 570-489-8021 | |
Anthony William Freda, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Keystone Ave, Peckville, PA 18452 Phone: 570-489-0871 Fax: 570-489-8021 | |
Meena Desai, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 Depot Street, Peckville, PA 18452 Phone: 570-383-7233 Fax: 570-489-2802 | |
Kevin G Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Keystone Ave, Peckville, PA 18452 Phone: 570-489-0871 Fax: 570-489-8021 | |
Dr. Frank M Moro, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Main St, Peckville, PA 18452 Phone: 570-383-0236 |