| Dr Theresa M Fonash, MD | |
|
700 E Broad St, Hazleton, PA 18201-6835 | |
| (570) 501-4193 | |
| (570) 501-4109 |
| Full Name | Dr Theresa M Fonash |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 38 Years |
| Location | 700 E Broad St, Hazleton, 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 |
|---|---|---|---|
| 1588630677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD044637E (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD044637E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc East | Monroeville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Pittsburgh Physicians | 8729990239 | 3868 |
| Entity Name | Regional Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174520654 PECOS PAC ID: 4880593722 Enrollment ID: O20040108000694 |
| 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 | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Entity Name | Upmc Bedford Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184772113 PECOS PAC ID: 6103811971 Enrollment ID: O20040420000321 |
| Entity Name | Emergency Physician Associates Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619990900 PECOS PAC ID: 5597663252 Enrollment ID: O20040913000755 |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Entity Name | Fayette Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992107817 PECOS PAC ID: 3375865819 Enrollment ID: O20141211000851 |
| Entity Name | Nason Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306236609 PECOS PAC ID: 5890012728 Enrollment ID: O20150402000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theresa M Fonash, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Dr Theresa M Fonash, MD 700 E Broad St, Hazleton, PA 18201-6835 Ph: (570) 501-4193 |
Dr. Barbara A Vilushis, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23 E Broad St, Hazleton, PA 18201 Phone: 570-454-8204 Fax: 570-459-0099 | |
Dr. Lisa A Tabbit, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 149 N Vine St, Hazleton, PA 18201 Phone: 570-454-0500 Fax: 570-454-5005 | |
Dr. Tequilla Tavockious Ayinla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 N Vine St, Hazleton, PA 18201 Phone: 570-454-0500 | |
Raveena Gandhi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 426 Airport Road, Hazleton, PA 18202 Phone: 570-459-9730 Fax: 570-459-9736 | |
Nalan Reibschied, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193 |