| Richard A Prisuta, DO | |
|
4469 Red Rock Rd, Benton, PA 17814-7606 | |
| (570) 925-6424 | |
| (570) 925-5852 |
| Full Name | Richard A Prisuta |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 4469 Red Rock Rd, Benton, 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 |
|---|---|---|---|
| 1669468997 | NPI | - | NPPES |
| 010046082 | Other | PA | RAILROAD MEDICARE |
| 01016701 | Other | PA | CAPITAL BLUE CROSS |
| 8340 | Other | PA | GEISINGER HEALTH PLAN |
| 001289227 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006907L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Commonwealth Home Health & Hospice Of Berwick | Berwick, PA | Home health agency |
| Compass Home Health And Rehab Llc | Kingston, PA | Home health agency |
| Family Care Home Health, Llc | Bloomsburg, PA | Home health agency |
| Residential Home Health Of Nc Pa, Llc | Williamsport, PA | Home health agency |
| Geisinger-bloomsburg Hospital | Bloomsburg, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| 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 |
| 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 |
|---|---|
| Richard A Prisuta, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Richard A Prisuta, DO 4469 Red Rock Rd, Benton, PA 17814-7606 Ph: (570) 925-6424 |