| Kevin T Fogarty, MD | |
|
300 Lackawanna Ave Ste 200, Scranton, PA 18503-2001 | |
| (484) 884-4500 | |
| (570) 800-7529 |
| Full Name | Kevin T Fogarty |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 300 Lackawanna Ave Ste 200, 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 |
|---|---|---|---|
| 1245221506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD044115L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
| Lehigh Valley Hospital - Pocono | East stroudsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Imaging Of Lehigh Valley Pc | 1557265212 | 125 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Medical Imaging Of Lehigh Valley Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178023 PECOS PAC ID: 1557265212 Enrollment ID: O20040329001466 |
| Entity Name | Lvhn Coordinated Professional Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366082554 PECOS PAC ID: 2163851858 Enrollment ID: O20200331003752 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin T Fogarty, MD 5325 Northgate Dr, Suite 100, Bethlehem, PA 18017-9411 Ph: (610) 691-8931 | Kevin T Fogarty, MD 300 Lackawanna Ave Ste 200, Scranton, PA 18503-2001 Ph: (484) 884-4500 |
Dr. Shaun W. Mclaughlin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387 | |
Dr. Salman Sikandar Mirza, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St., Scranton, PA 18510 Phone: 570-703-8151 Fax: 570-703-8387 | |
Jamie S Stallman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-307-4225 Fax: 570-307-4226 | |
Champak M Dedhia, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-307-4225 | |
Sagar M Shah, DO Radiology Medicare: Medicare Enrolled Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8151 | |
Jonathon C. Sullum, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2601 Stafford Avenue, Scranton, PA 18505 Phone: 570-346-6633 |