| Dr Tyler Fugate, DO | |
|
775 Norman Dr, Lebanon, PA 17042-7497 | |
| (717) 274-5500 | |
| (717) 202-0130 |
| Full Name | Dr Tyler Fugate |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 21 Years |
| Location | 775 Norman Dr, Lebanon, 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 |
|---|---|---|---|
| 1093867350 | NPI | - | NPPES |
| PO1680500 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS013449 (Pennsylvania) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | OS013449 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Lebanon, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspan Medical Group | 1951213115 | 2052 |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| Entity Name | Ephrata Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1245377191 PECOS PAC ID: 4981514445 Enrollment ID: O20040419000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Fugate, DO 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Dr Tyler Fugate, DO 775 Norman Dr, Lebanon, PA 17042-7497 Ph: (717) 274-5500 |
Naba Raj Mainali, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-4876 | |
Dr. Jason Reese, D.O. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 Fax: 717-228-6150 | |
Dr. Rikka Asuncion Banayat, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 3, Lebanon, PA 17042 Phone: 717-270-4876 Fax: 717-270-3875 | |
Matthew Heffernan, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 775 Norman Dr, Lebanon, PA 17042 Phone: 717-274-5500 Fax: 717-274-5189 | |
Robert Disantis, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Medicine Care Line, Bld 1, 5th Floor, Lebanon, PA 17042 Phone: 717-272-6621 | |
Priyanka Sharma, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-4876 Fax: 717-270-3875 | |
Dr. Thaddeus Raymond Szydlowski, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 761 Norman Dr, Lebanon, PA 17042 Phone: 717-376-1180 Fax: 717-273-6937 |