Eric Jie Yang, | |
3 W Olive St, Scranton, PA 18508-2572 | |
(570) 558-2130 | |
(570) 558-2129 |
Full Name | Eric Jie Yang |
---|---|
Gender | Male |
Speciality | Dermatology - Mohs-micrographic Surgery |
Location | 3 W Olive St, Scranton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659831204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | LP04915 (Rhode Island) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD0485127 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Eric Jie Yang, 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 558-2103 | Eric Jie Yang, 3 W Olive St, Scranton, PA 18508-2572 Ph: (570) 558-2130 |
Dr. Gregg Anthony Severs, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave, Suite 200, Scranton, PA 18503 Phone: 570-961-5522 Fax: 570-207-5579 | |
Dr. Mark F Suchter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave, Suite 200, Scranton, PA 18503 Phone: 570-961-5522 | |
Dr. Michael J O'donnell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave, Ste 200, Scranton, PA 18503 Phone: 570-961-5522 Fax: 570-207-5579 | |
Dr. Peter Edward Boor, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave Ste 200, Scranton, PA 18503 Phone: 570-961-5522 | |
Dr. Douglas Levi Sheldon, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 327 N Washington Ave, Ste 200, Scranton, PA 18503 Phone: 570-961-5522 Fax: 570-961-5579 | |
Dr. Mark Anthony Marsili, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave, Ste 200, Scranton, PA 18503 Phone: 570-961-5522 Fax: 570-207-5579 | |
Dr. Ted Michael Stampien, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 N Washington Ave Ste 200, Scranton, PA 18503 Phone: 570-961-5522 Fax: 570-207-5579 |