| Thomas J Ciotola, MD | |
|
141 N Vine St, Hazleton, PA 18201 | |
| (570) 454-2467 | |
| (570) 455-2070 |
| Full Name | Thomas J Ciotola |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 49 Years |
| Location | 141 N Vine St, Hazleton, 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 |
|---|---|---|---|
| 1730147067 | NPI | - | NPPES |
| 001122527-0003 | Medicaid | PA | |
| 0011225270001 | Medicaid | PA | |
| P00094194 | Other | RAILROAD MEDICARE | |
| 080573 | Other | FIRST PRIORITY HEALTH | |
| 50005162 | Other | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD019396E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital - Hazleton | Hazleton, PA | Hospital |
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2138 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Hazleton Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Ciotola, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Thomas J Ciotola, MD 141 N Vine St, Hazleton, PA 18201 Ph: (570) 454-2467 |
Fawaz Nassar, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1090 N Church St, Hazleton, PA 18202 Phone: 570-459-1485 Fax: 570-459-6354 | |
Francisco A Gazek, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1090 N Church St, Hazleton, PA 18202 Phone: 570-459-1485 Fax: 570-459-6354 | |
Dr. Myung Sun Yoon, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 238 W Chestnut St, Hazleton, PA 18201 Phone: 570-454-1401 Fax: 570-454-6023 | |
Robert Victor Decker, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 772 E Broad St, Hazleton, PA 18201 Phone: 570-501-1242 Fax: 570-501-1252 | |
Dr. Jodi Washinsky Lenko, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 Alliance Dr, Hazleton, PA 18202 Phone: 570-459-2226 Fax: 570-459-2511 | |
James V Martino, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 149 N Vine St, Hazleton, PA 18201 Phone: 570-459-0414 Fax: 570-978-3465 | |
Mr. Pedro Guzman, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 141 N Cedar St, Hazleton, PA 18201 Phone: 570-497-4419 Fax: 570-497-4420 |