| Kathleen Noss, DO | |
|
57 N Main St, Pittston, PA 18640-1915 | |
| (570) 602-5620 | |
| (570) 602-5621 |
| Full Name | Kathleen Noss |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 57 N Main St, Pittston, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912263153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | OS017663 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Caring Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679038293 PECOS PAC ID: 5698004588 Enrollment ID: O20190830001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Noss, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Kathleen Noss, DO 57 N Main St, Pittston, PA 18640-1915 Ph: (570) 602-5620 |
Dr. Karina Geronilla Phang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 57 N Main St, Pittston, PA 18640 Phone: 570-602-5620 Fax: 570-602-5621 | |
Rachel Elizabeth Evans Williams, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 57 N Main St, Pittston, PA 18640 Phone: 570-602-5620 Fax: 570-602-5621 |