| Dr Susan Angelisanti, MD | |
|
333 Normal Ave, Kutztown, PA 19530-1640 | |
| (610) 683-5522 | |
| Not Available |
| Full Name | Dr Susan Angelisanti |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 27 Years |
| Location | 333 Normal Ave, Kutztown, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891790572 | NPI | - | NPPES |
| 2451692000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 000000222335-HBP | Other | PA | UNISON |
| 1014183360001 | Medicaid | PA | |
| 000000222333-PCP | Other | PA | UNISON |
| 001769844 | Other | PA | HIGHMARK |
| 20064465 | Other | PA | MERCY |
| 50070801 | Other | PA | CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL |
| 1545407 | Other | PA | GATEWAY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD072027L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2138 |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Lancaster General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720430812 PECOS PAC ID: 1254240039 Enrollment ID: O20040414000606 |
| Entity Name | Valley Health Partners Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770118648 PECOS PAC ID: 4284065327 Enrollment ID: O20200505003199 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Angelisanti, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: () - | Dr Susan Angelisanti, MD 333 Normal Ave, Kutztown, PA 19530-1640 Ph: (610) 683-5522 |