| Stacey Main, | |
|
1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | |
| (570) 808-7300 | |
| (570) 808-3208 |
| Full Name | Stacey Main |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 6 Years |
| Location | 1000 E Mountain Dr, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295364941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | OS023974 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger Medical Center | Danville, PA | Hospital |
| Geisinger Community Medical Center | Scranton, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Geisinger-lewistown Hospital | Lewistown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3432 |
| 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 |
|---|---|
| Stacey Main, 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-7300 | Stacey Main, 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 Ph: (570) 808-7300 |
Dr. Richard M. Somma, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-820-6028 Fax: 570-826-7943 |
Dr. Md.mushfiqur Rahman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 335 S Franklin St, Wilkes Barre, PA 18702 Phone: 570-825-6425 |
Dr. Mitchell J. Gross, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-820-6028 Fax: 570-826-7943 |
Dr. Francisco Santos, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 Fax: 570-819-5147 |
Elmyra V. Encarnacion, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-6026 Fax: 570-808-3208 |
Saige Perry, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300 |
Dr. Wittawat Kasayapanand, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 335 S Franklin St, Wilkes Barre, PA 18702 Phone: 570-825-6425 Fax: 570-829-3337 |