| Traci Louise Farley, MD | |
|
1 Hospital Dr, Lewisburg, PA 17837-9314 | |
| (570) 522-4110 | |
| (570) 768-3911 |
| Full Name | Traci Louise Farley |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1 Hospital Dr, Lewisburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376564013 | NPI | - | NPPES |
| 1671113 | Other | PA | BLUE SHIELD |
| 321845 | Other | PA | HEALTH AMERICA |
| 50044509 | Other | PA | CAPITAL BLUE CROSS |
| P00190420 | Other | PA | RAILROAD MEDICARE |
| 1012034590001 | Medicaid | PA | |
| 232809429 | Other | PA | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD425385 (Pennsylvania) | Primary |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Louise Farley, MD 1 Hospital Dr Ste 306, Lewisburg, PA 17837-9350 Ph: (570) 522-4110 | Traci Louise Farley, MD 1 Hospital Dr, Lewisburg, PA 17837-9314 Ph: (570) 522-4110 |
Dr. Phillip Robert Peterson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: One Hospital Drive, Lewisburg, PA 17837 Phone: 570-522-2640 Fax: 570-768-3921 | |
Ian Coote, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 | |
Randi J. Mcleod, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 Fax: 570-768-3921 | |
Thomas Douglas Sallade, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 | |
Dr. Nicholas Joseph Delbuono, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 | |
Michael Anthony Donegan, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4110 Fax: 570-768-3911 |