| Ms Mistraine Durand-douglas, DO | |
|
1020 Thompson St, Jersey Shore, PA 17740-1729 | |
| (570) 398-0100 | |
| (570) 398-4412 |
| Full Name | Ms Mistraine Durand-douglas |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1020 Thompson St, Jersey Shore, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184895708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OT017173 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | OS019906 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Emergency Care Services Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
| Entity Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mistraine Durand-douglas, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Ms Mistraine Durand-douglas, DO 1020 Thompson St, Jersey Shore, PA 17740-1729 Ph: (570) 398-0100 |
Ronald Noel Eister, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-1991 | |
Dr. Catherine A Brosius-bolick, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-0100 Fax: 570-398-4412 | |
Dr. Hosny Mikhail, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-5122 Fax: 814-432-4986 | |
Todd Phillip Ulmer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-3117 Fax: 570-389-4412 | |
Garrett Todd Stoltzfus, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-3117 Fax: 570-398-4412 |