| Kelly Shannon Caruso, DO | |
|
1100 Montour Rd, Loysville, PA 17047-9200 | |
| (717) 789-3553 | |
| (717) 789-3198 |
| Full Name | Kelly Shannon Caruso |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 1100 Montour Rd, Loysville, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629017322 | NPI | - | NPPES |
| 0018455660004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS009531L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carlisle Regional Medical Center | Carlisle, PA | Hospital |
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ucmg Llc | 6709398969 | 128 |
| Pinnacle Health Medical Services | 7618960493 | 976 |
| Entity Name | Pinnacle Health Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Shannon Caruso, DO 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Kelly Shannon Caruso, DO 1100 Montour Rd, Loysville, PA 17047-9200 Ph: (717) 789-3553 |
Donald David Dangle, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Montour Rd, Loysville, PA 17047 Phone: 717-789-3553 Fax: 717-789-3198 | |
Benjamin Leslie Stewart Ii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Montour Rd, Loysville, PA 17047 Phone: 717-789-3553 Fax: 717-789-3198 | |
James J Marakowski, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Montour Rd, Loysville, PA 17047 Phone: 717-789-3553 Fax: 717-789-3198 | |
John Caruso, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Montour Rd, Loysville, PA 17047 Phone: 717-789-3553 Fax: 717-789-3198 |