| John A Consalvo, MD | |
|
1400 Main St, Peckville, PA 18452-2009 | |
| (570) 489-7546 | |
| Not Available |
| Full Name | John A Consalvo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1400 Main St, Peckville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184675274 | NPI | - | NPPES |
| 0009688010014 | Medicaid | PA | |
| 0041657000 | Other | PA | INDEPENDENCE BC |
| 414646 | Other | PA | HIGHMARK BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD025156E (Pennsylvania) | Primary |
| 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 | Emergency Care Services Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Consalvo, MD 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: (734) 995-3764 | John A Consalvo, MD 1400 Main St, Peckville, PA 18452-2009 Ph: (570) 489-7546 |
Dr. Kwangsup K Sheen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St, Peckville, PA 18452 Phone: 570-383-5511 | |
Robert Lee Hill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St, Peckville, PA 18452 Phone: 570-489-7546 |