| Mohammed Z Islam, MD | |
|
801 Ostrum St, Bethlehem, PA 18015-1000 | |
| (484) 526-6643 | |
| (484) 526-4658 |
| Full Name | Mohammed Z Islam |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 801 Ostrum St, Bethlehem, 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 |
|---|---|---|---|
| 1508291279 | NPI | - | NPPES |
| 018018200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME127358 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 301540 (New York) | Secondary |
| 207Q00000X | Family Medicine | MD468673 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger St. Luke's Hospital | Orwigsburg, PA | Hospital |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Physician Group Inc | 6709798333 | 1858 |
| Gslpg, Inc | 7810226875 | 201 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Gslpg, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Z Islam, MD 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (484) 526-6643 | Mohammed Z Islam, MD 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (484) 526-6643 |
Bram Sakdiponephong, MS, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2830 Easton Ave, Bethlehem, PA 18017 Phone: 484-526-3555 Fax: 833-822-5230 | |
Shailee Pravinchandra Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2830 Easton Ave, Bethlehem, PA 18017 Phone: 484-526-3555 Fax: 833-822-5230 | |
Hazem Fahmy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-6643 Fax: 484-526-4658 | |
Faton Bilali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Highland Ave, Bethlehem, PA 18020 Phone: 610-861-8080 | |
Maria Ghetu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2830 Easton Ave, Bethlehem, PA 18017 Phone: 610-954-3555 Fax: 610-954-3560 | |
Jose G Guzman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-6048 Fax: 484-526-6500 | |
Alexander Capellan Moronta, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2830 Easton Ave, Bethlehem, PA 18017 Phone: 484-526-3555 Fax: 833-822-5230 |