| Mark P Shampain, MD | |
|
3131 College Heights Blvd, Ste 200, Allentown, PA 18104-4812 | |
| (610) 820-7611 | |
| (610) 820-9884 |
| Full Name | Mark P Shampain |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Allergy/immunology |
| Location | 3131 College Heights Blvd, Allentown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558363085 | NPI | - | NPPES |
| 08418110001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | MD025134E (Pennsylvania) | Primary |
| Entity Name | Mark P Shampain Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105749 PECOS PAC ID: 3779576574 Enrollment ID: O20040407000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark P Shampain, MD 3131 College Heights Blvd, Ste 200, Allentown, PA 18104-4812 Ph: (610) 820-7611 | Mark P Shampain, MD 3131 College Heights Blvd, Ste 200, Allentown, PA 18104-4812 Ph: (610) 820-7611 |
Yalile Perez, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 1605 N Cedar Crest Blvd Ste 117&119, Allentown, PA 18104 Phone: 610-437-6687 Fax: 610-437-5232 | |
Dr. Ruchi Gupta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 N 17th St, Suite 309, Allentown, PA 18104 Phone: 610-437-6687 | |
Dr. Douglas Mchale, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-7712 Fax: 224-484-1306 | |
Dr. Sajani Jitendra Sukhadia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3080 Hamilton Blvd Ste 200, Allentown, PA 18103 Phone: 484-661-4642 | |
Asiya Nadeem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1611 Pond Rd Ste 400, Allentown, PA 18104 Phone: 610-395-4300 | |
Sara S Viessman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1627 W Chew St, Suite 601, Allentown, PA 18102 Phone: 610-969-2555 | |
Paige Payne, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Chew St Ste 203, Allentown, PA 18102 Phone: 484-503-3058 |