| Paul Andrew Koberna, MD | |
|
2134 Sandy Dr Ste 16, State College, PA 16803-2292 | |
| (814) 272-5805 | |
| (814) 272-0110 |
| Full Name | Paul Andrew Koberna |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2134 Sandy Dr Ste 16, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003803263 | NPI | - | NPPES |
| 50000805 | Other | PA | CAPITAL BC/BS |
| 952761 | Other | PA | HIGHMARK BS |
| 0016455000003 | Medicaid | PA | |
| 21920 | Other | PA | GEISINGER |
| 110237654 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | MD062353-L (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | MD062353-L (Pennsylvania) | Primary |
| Entity Name | Nittany Valley Medical Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083601249 PECOS PAC ID: 6002875077 Enrollment ID: O20041006000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Andrew Koberna, MD 2134 Sandy Dr Ste 16, State College, PA 16803-2292 Ph: (814) 272-5805 | Paul Andrew Koberna, MD 2134 Sandy Dr Ste 16, State College, PA 16803-2292 Ph: (814) 272-5805 |
Peter F. Pepe, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 201, State College, PA 16803 Phone: 814-234-8800 | |
Keriann Nickola Gray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr., State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Dr. Manisha N. Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Dr. Joel B Haight, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 32 Colonnade Way, State College, PA 16803 Phone: 814-272-4445 Fax: 814-272-4450 | |
Jeffrey W. Pro, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 302, State College, PA 16803 Phone: 814-278-4680 Fax: 814-235-1523 | |
Dr. Scott A. Sulman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-235-5512 |