| Dr Robert L Glicini, MD | |
|
1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | |
| (570) 808-2340 | |
| (570) 808-7904 |
| Full Name | Dr Robert L Glicini |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1000 E Mountain Blvd, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538137948 | NPI | - | NPPES |
| 0011652480004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD044032E (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert L Glicini, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Robert L Glicini, MD 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 Ph: (570) 808-2340 |
Dr. Joseph John Ridilla, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 476 E Northampton St, Wilkes Barre, PA 18702 Phone: 570-825-4460 Fax: 570-825-6140 | |
Brian E Klock, MD Surgery Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904 | |
Dr. Tanner Andrew Long, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904 | |
Sarah Mustafa, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904 | |
Dr. Joseph Martin Lopez Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904 | |
Dr. Ryan Christopher Rusnok, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904 | |
Dr. Kiron Kumar Somasekharan Nair, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Va Medical Center - Department Of Surgery, Wilkes Barre, PA 18711 Phone: 570-824-3521 |