| Michael C Raklewicz, MD | |
|
390 Pierce St, Kingston, PA 18704-5532 | |
| (570) 288-3535 | |
| (570) 288-0804 |
| Full Name | Michael C Raklewicz |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 53 Years |
| Location | 390 Pierce St, Kingston, 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 |
|---|---|---|---|
| 1770595027 | NPI | - | NPPES |
| 0006104670005 | Medicaid | PA | |
| 90067 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD014960E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Physician Network Llc | 2668696592 | 62 |
| Entity Name | Commonwealth Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003238635 PECOS PAC ID: 2668696592 Enrollment ID: O20140617000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Raklewicz, MD Po Box 1463, Kingston, PA 18704-0463 Ph: (570) 288-3535 | Michael C Raklewicz, MD 390 Pierce St, Kingston, PA 18704-5532 Ph: (570) 288-3535 |
William P Charlton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 390 Pierce St, Kingston, PA 18704 Phone: 570-288-3535 Fax: 570-288-0804 | |
Dr. Frank Obrien, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 390 Pierce St, Kingston, PA 18704 Phone: 570-288-3535 Fax: 570-714-8466 | |
Dr. Dante M Palumbo, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 390 Pierce St, Kingston, PA 18704 Phone: 570-288-3535 | |
James M Mattucci Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 390 Pierce St, Kingston, PA 18704 Phone: 570-288-3535 Fax: 570-288-0804 |