| Phillip A Boccagno, MD | |
|
231 Northern Blvd, Suite 3, Clarks Summit, PA 18411-9189 | |
| (570) 587-4113 | |
| (570) 587-7703 |
| Full Name | Phillip A Boccagno |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 231 Northern Blvd, Clarks Summit, 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 |
|---|---|---|---|
| 1639159510 | NPI | - | NPPES |
| 00093540 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD022568E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Traditional Home Health Care | Dunmore, PA | Home health agency |
| Hospice Of The Sacred Heart | Wilkes barre, PA | Hospice |
| Geisinger-community Medical Center | Scranton, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Regional Hospital Of Scranton | Scranton, PA | Hospital |
| Wayne Memorial Hospital | Honesdale, PA | Hospital |
| Allied Services Skilled Nursing Center | Scranton, PA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3078 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip A Boccagno, MD 231 Northern Blvd, Suite 3, Clarks Summit, PA 18411-9189 Ph: (570) 587-4113 | Phillip A Boccagno, MD 231 Northern Blvd, Suite 3, Clarks Summit, PA 18411-9189 Ph: (570) 587-4113 |
Dr. Sun-tak Han, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Layton Rd, Clarks Summit, PA 18411 Phone: 570-586-3982 Fax: 570-585-2896 | |
Dr. Michael H Gordon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 N State St, Clarks Summit, PA 18411 Phone: 570-586-1134 Fax: 570-586-1136 | |
Dr. John Lisiak Jr., D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Morgan Hwy, Clarks Summit, PA 18411 Phone: 570-585-6700 Fax: 570-585-6714 | |
Dr. Eric D Smith, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 East Grove Street, Clarks Summit, PA 18411 Phone: 570-209-7878 Fax: 570-209-7715 | |
Donald A Kachline, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1451 Hillside Dr, Newton Hall, Medical Office, Clarks Summit, PA 18411 Phone: 570-587-7254 Fax: 570-587-7270 | |
Haitham Abughnia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N State St, Clarks Summit, PA 18411 Phone: 570-587-7817 Fax: 570-587-7815 | |
Dr. Sheela S Prahalad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 N State St, Clarks Summit, PA 18411 Phone: 570-586-6087 Fax: 570-586-6072 |