| Patrick J Hanley, DO | |
|
1122 North St, Jim Thorpe, PA 18229-1717 | |
| (272) 639-5450 | |
| (272) 639-5451 |
| Full Name | Patrick J Hanley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 37 Years |
| Location | 1122 North St, Jim Thorpe, 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 |
|---|---|---|---|
| 1104802651 | NPI | - | NPPES |
| 0015610530002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS007118L (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | OS-007118-L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Home Health | Bethlehem, PA | Home health agency |
| Southeastern Home Health Services | Bristol, PA | Home health agency |
| Bayada Home Health Care, Inc. | Bethlehem, PA | Home health agency |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 2687 |
| St Lukes Physician Group Inc | 6709798333 | 2160 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J Hanley, DO 1122 North St, Jim Thorpe, PA 18229-1717 Ph: (272) 639-5450 | Patrick J Hanley, DO 1122 North St, Jim Thorpe, PA 18229-1717 Ph: (272) 639-5450 |
Mr. Victor A Manzella, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1353 State Route 903, Jim Thorpe, PA 18229 Phone: 570-325-8393 Fax: 570-325-8029 | |
Mr. John R Manzella Jr., DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1353 State Route 903, Jim Thorpe, PA 18229 Phone: 570-325-8393 Fax: 570-325-8029 | |
Mr. Edward D Manzella, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1353 State Route 903, Jim Thorpe, PA 18229 Phone: 570-325-8393 Fax: 570-325-8029 |