| John Andre Pepen, | |
|
743 Jefferson Ave Ste 104, Scranton, PA 18510-1636 | |
| (570) 207-0433 | |
| Not Available |
| Full Name | John Andre Pepen |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 16 Years |
| Location | 743 Jefferson Ave Ste 104, Scranton, 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 |
|---|---|---|---|
| 1144462615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD483480 (Pennsylvania) | Primary |
| 2086S0102X | Surgery - Surgical Critical Care | 25MA09709700 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Hospital Of Scranton | Scranton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scranton Quincy Clinic Company Llc | 0143487389 | 70 |
| Entity Name | Scranton Quincy Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544 |
| Mailing Address | Practice Location Address |
|---|---|
| John Andre Pepen, 743 Jefferson Ave Ste 104, Scranton, PA 18510-1636 Ph: (570) 207-0433 | John Andre Pepen, 743 Jefferson Ave Ste 104, Scranton, PA 18510-1636 Ph: (570) 207-0433 |
Dr. Matthew Craig Cindric, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 743 Jefferson Ave Ste 104, Scranton, PA 18510 Phone: 570-207-0433 Fax: 570-770-4406 | |
Fitzgerald Junior Casimir, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-7245 | |
Dr. Khaleel A Shaikh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-346-7797 Fax: 570-342-9802 | |
Natalie Monroe, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-4824 Fax: 570-703-7325 | |
Dr. James J. Roche, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Penn Ave, Scranton, PA 18503 Phone: 570-342-1643 Fax: 570-342-7119 | |
Dr. John Anthony Kutz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-7355 Fax: 570-703-7354 |