| Stephen R Whitmoyer, MD | |
|
Fourth And Walnut Streets, Attn: Radiology Department, Lebanon, PA 17042-1281 | |
| (717) 270-7645 | |
| (717) 270-7596 |
| Full Name | Stephen R Whitmoyer |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | Fourth And Walnut Streets, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720033954 | NPI | - | NPPES |
| 001708351 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD051390L (Pennsylvania) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD051390L (Pennsylvania) | Secondary |
| Entity Name | Montgomery Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104859412 PECOS PAC ID: 3173424249 Enrollment ID: O20040120000957 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R Whitmoyer, MD Fourth And Walnut Streets, Attn: Radiology Department, Lebanon, PA 17042-1281 Ph: (717) 270-7645 | Stephen R Whitmoyer, MD Fourth And Walnut Streets, Attn: Radiology Department, Lebanon, PA 17042-1281 Ph: (717) 270-7645 |
Jennifer Lynn Kissane, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639 | |
Juan C. Blas-boria, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639 | |
Dr. Kenneth A Griggs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639 | |
Roberto Dyreyes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Fourth And Walnut Streets, Radiology Department, Lebanon, PA 17042 Phone: 717-270-7642 Fax: 717-272-7069 | |
Dr. Joseph Martin Clark, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 16 E High St, Lebanon, PA 17042 Phone: 717-272-6061 Fax: 717-272-6061 | |
Philip Dennison Stieg, M.D. Radiology Medicare: Medicare Enrolled Practice Location: Fourth & Walnut Streets, Radiology Department, Lebanon, PA 17042 Phone: 717-270-7645 Fax: 717-270-7639 | |
Dr. Chaitali Shah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639 |