| Eugene R Stish, MD | |
|
600 Penn St, West Hazleton, PA 18202-1514 | |
| (570) 497-4940 | |
| (570) 497-4942 |
| Full Name | Eugene R Stish |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 600 Penn St, West Hazleton, 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 |
|---|---|---|---|
| 1891746962 | NPI | - | NPPES |
| 182834 | Other | CAPITAL ADVANTAGE | |
| 710941282 | Other | HEALTH AMERICA | |
| 002708 | Other | FIRST PRIORITY HEALTH | |
| 182834 | Other | PA | PA BLUE SHIELD |
| 710941282 | Other | CHAMPUS | |
| 710941282 | Other | AMERIHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD037411E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital - Hazleton | Hazleton, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Geisinger-bloomsburg Hospital | Bloomsburg, PA | Hospital |
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Entity Name | Stish Family Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992732689 PECOS PAC ID: 5698722023 Enrollment ID: O20050407000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene R Stish, MD Po Box 1388, Kingston, PA 18704-0388 Ph: (570) 288-8881 | Eugene R Stish, MD 600 Penn St, West Hazleton, PA 18202-1514 Ph: (570) 497-4940 |
Shane S Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Diana Ln, West Hazleton, PA 18202 Phone: 570-790-2260 Fax: 570-790-2277 |