| Devon M Bizarre, PA-C | |
|
360 W Ruddle St, Coaldale, PA 18218-1027 | |
| (570) 645-2131 | |
| Not Available |
| Full Name | Devon M Bizarre |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 360 W Ruddle St, Coaldale, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396212767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | OA004682 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
| Geisinger St. Luke's Hospital | Orwigsburg, PA | Hospital |
| St Luke's Hospital - Carbon Campus | Lehighton, PA | Hospital |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gslpg, Inc | 7810226875 | 269 |
| St Lukes Physician Group Inc | 6709798333 | 2161 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Gslpg, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
| Mailing Address | Practice Location Address |
|---|---|
| Devon M Bizarre, PA-C 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: Not Available | Devon M Bizarre, PA-C 360 W Ruddle St, Coaldale, PA 18218-1027 Ph: (570) 645-2131 |
Andrew Krachie, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 570-645-1810 |
Lauren Adams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 484-526-6643 |
Ms. Kathleen C Fishe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 570-645-2131 |
Jaime Lynne Mendolia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 570-645-2131 |
Matthew D Morgan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 570-645-8127 |
Mrs. Tia M Werner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 866-785-8541 |
Caroline Jaworski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 484-526-6643 |