| Isaac Michael Porter, PA-C | |
|
26 Station Cir, Hazleton, PA 18202-9726 | |
| (610) 861-8080 | |
| Not Available |
| Full Name | Isaac Michael Porter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 26 Station Cir, 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 |
|---|---|---|---|
| 1043991037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA064699 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital - Hazleton | Hazleton, PA | Hospital |
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Lehigh Valley Hospital - Dickson City | Dickson city, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2512 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780155689 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 |
|---|---|
| Isaac Michael Porter, PA-C 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Isaac Michael Porter, PA-C 26 Station Cir, Hazleton, PA 18202-9726 Ph: (610) 861-8080 |
Wilton Curiel Rosa, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193 |
Kaitlyn Meighan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4000 |
Ashly Gutierrez Badia, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 546 W Broad St, Hazleton, PA 18201 Phone: 570-501-6400 |
Dorothy A Perillo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 E Broad St, Hazleton, PA 18201 Phone: 570-455-6385 |
Ms. Amanda Evans, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Alliance Dr, Hazleton, PA 18202 Phone: 570-459-2226 Fax: 570-459-2511 |
Nicole T Homan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 N Sherman Ct, Hazleton, PA 18201 Phone: 570-501-7020 |
Gregory Jones, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4119 Fax: 610-798-4629 |