| Mackenzie Faith Sherman, PA-C | |
|
1175 East Mountain Blvd, Wilkes Barre, PA 18702-7906 | |
| (570) 808-1093 | |
| (570) 808-7878 |
| Full Name | Mackenzie Faith Sherman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 1175 East Mountain Blvd, Wilkes Barre, 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 |
|---|---|---|---|
| 1952141350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA066019 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
| St Luke's Hospital - Carbon Campus | Lehighton, PA | Hospital |
| Good Shepherd Rehabilitation Hospital, The | Center valley, PA | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gslpg, Inc | 7810226875 | 269 |
| St Lukes Physician Group Inc | 6709798333 | 2161 |
| Geisinger Clinic | 5395657001 | 3432 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| 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 |
|---|---|
| Mackenzie Faith Sherman, PA-C 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-1093 | Mackenzie Faith Sherman, PA-C 1175 East Mountain Blvd, Wilkes Barre, PA 18702-7906 Ph: (570) 808-1093 |
Nicholas Charles James, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3451 |
Catherine Maholick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-3290 Fax: 570-808-3298 |
Mrs. Kimberly Ann Reed, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Baltimore Dr, Wilkes Barre, PA 18702 Phone: 570-808-5757 |
Mrs. Channing Elizabeth Boback, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Baltimore Dr, Wilkes Barre, PA 18702 Phone: 570-808-1000 Fax: 570-808-7698 |
Mr. Douglas W. Long, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-820-6020 Fax: 570-821-2306 |
Miss Erin Corrine Neuner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E. Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7861 |
Julianna Rae Haas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 268 Highland Park Blvd, Wilkes Barre, PA 18702 Phone: 570-822-8831 |