| Katherine Deibert, | |
|
700 East Norwegian Street, Pottsville, PA 17901 | |
| (303) 590-4060 | |
| Not Available |
| Full Name | Katherine Deibert |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 700 East Norwegian Street, Pottsville, 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 |
|---|---|---|---|
| 1558143669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital-schuylkill | Pottsville, PA | Hospital |
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Geisinger St. Luke's Hospital | Orwigsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Medical Group P C | 1355247180 | 105 |
| Entity Name | Integrated Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336102268 PECOS PAC ID: 1355247180 Enrollment ID: O20031211000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Deibert, Po Box 111, Sacramento, PA 17968-0111 Ph: (303) 590-4060 | Katherine Deibert, 700 East Norwegian Street, Pottsville, PA 17901 Ph: (303) 590-4060 |
Jennifer Marie Thomas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Schuylkill Medical Plz, Suite 205, Pottsville, PA 17901 Phone: 570-621-5010 Fax: 570-628-2525 |
Caitlin Ralston, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Schuylkill Med Plz, Suite 202, Pottsville, PA 17901 Phone: 570-621-5987 Fax: 570-621-5980 |
Colby Allan Powell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 48 Tunnel Rd, Suite 101, Pottsville, PA 17901 Phone: 570-622-2245 |
Julia Nicole Gillow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 48 Tunnel Rd Ste 205, Pottsville, PA 17901 Phone: 570-622-1400 |
Kayla Ann Ney, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2650 Woodglen Rd Ste 100, Pottsville, PA 17901 Phone: 272-639-5780 |
Ms. Karen B Bohenek, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 E Norwegian St, Pottsville, PA 17901 Phone: 570-621-4143 Fax: 570-621-4769 |
Madison Kylie Dalton, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 106 S Claude A Lord Blvd, Pottsville, PA 17901 Phone: 570-728-2424 |