| Geisinger Clinic | |
|
100 N Academy Ave Danville PA 17822 | |
| (570) 271-6211 | |
| Not Available |
| Full Name | Geisinger Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 100 N Academy Ave, Danville, Pennsylvania |
| Authorized Official Name and Position | Cindy L Mull (SYSTEM DIRECTOR ENROLLMENTS) |
| Authorized Official Contact | 5702716603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geisinger Clinic 100 N Academy Ave Danville PA 17822-3034 Ph: () - | Geisinger Clinic 100 N Academy Ave Danville PA 17822 Ph: (570) 271-6211 |
| NPI Number | 1427086065 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Medicare PECOS PAC ID | 5395657001 |
|---|---|
| Medicare Enrollment ID | O20151023001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427086065 | NPI | - | NPPES |
| 77464 | Other | HIGHMARK BS# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Thomas M Hartmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922027879 PECOS PAC ID: 9335135789 Enrollment ID: I20040422000089 |
| Provider Name | John Edward Stewart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053367250 PECOS PAC ID: 7517947815 Enrollment ID: I20051004001039 |
| Provider Name | Samuel Nicholas Bone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841216306 PECOS PAC ID: 4880613827 Enrollment ID: I20051118000141 |
| Provider Name | Bertrand Schlam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710991880 PECOS PAC ID: 2062511827 Enrollment ID: I20070620000444 |
| Provider Name | Brian J Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336461813 PECOS PAC ID: 3072644228 Enrollment ID: I20100701000592 |
| Provider Name | Elikem K Gbeddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568716157 PECOS PAC ID: 8426282914 Enrollment ID: I20170220001870 |
| Provider Name | Katlin E Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487168662 PECOS PAC ID: 2466713474 Enrollment ID: I20180307001183 |
| Provider Name | Jennifer S Ngo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528326097 PECOS PAC ID: 7517213903 Enrollment ID: I20180628000678 |
| Provider Name | Cristina Cavazos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992922082 PECOS PAC ID: 2769577576 Enrollment ID: I20190909004162 |
| Provider Name | Mark Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145105 PECOS PAC ID: 7911165659 Enrollment ID: I20200128001772 |
| Provider Name | Logan C Bisset |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356760276 PECOS PAC ID: 9133411499 Enrollment ID: I20200304000634 |
| Provider Name | Brett James Hausauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669835070 PECOS PAC ID: 6608168455 Enrollment ID: I20210816001057 |
| Provider Name | Brittany Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285088989 PECOS PAC ID: 1254624463 Enrollment ID: I20230424000210 |
| Provider Name | Jessica Goldhirsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659613552 PECOS PAC ID: 9931447463 Enrollment ID: I20230426001083 |
| Provider Name | Nada El Andary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053500470 PECOS PAC ID: 5799926127 Enrollment ID: I20230828001388 |
| Provider Name | Desiree Lerro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881680791 PECOS PAC ID: 3173424785 Enrollment ID: I20231013000099 |
| Provider Name | Allyn Latorre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316266141 PECOS PAC ID: 7315328960 Enrollment ID: I20250417003085 |
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Geisinger Clinic - Outpatient Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 |