| Vadim Loshakov I, MD | |
|
1000 Alliance Dr, Hazleton, PA 18202-3234 | |
| (570) 501-6450 | |
| (570) 501-6436 |
| Full Name | Vadim Loshakov I |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 40 Years |
| Location | 1000 Alliance Dr, 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 |
|---|---|---|---|
| 1003815721 | NPI | - | NPPES |
| 001922638-0002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD419480 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baltimore Medical System, Inc. | 5395653455 | 67 |
| Entity Name | Baltimore Medical System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164138152 PECOS PAC ID: 5395653455 Enrollment ID: O20031121000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Vadim Loshakov I, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Vadim Loshakov I, MD 1000 Alliance Dr, Hazleton, PA 18202-3234 Ph: (570) 501-6450 |
Ms. Theresa Mary Baseski, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 Alliance Dr Ste 10, Hazleton, PA 18202 Phone: 570-501-6450 Fax: 570-501-6436 | |
Patrick Fiero, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 Alliance Dr, Hazleton, PA 18202 Phone: 570-501-6450 Fax: 570-501-6436 | |
Michael Socher, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 Alliance Dr, Hazleton, PA 18202 Phone: 570-501-6450 | |
Dr. Scott Douglas Muir, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 Alliance Dr, Suite 10, Hazleton, PA 18202 Phone: 570-501-6450 Fax: 570-501-6436 |