| Mark William Vergauwen, PA-C | |
|
1 Hospital Dr, Lewisburg, PA 17837-9350 | |
| (570) 522-4264 | |
| (570) 522-4155 |
| Full Name | Mark William Vergauwen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 1 Hospital Dr, Lewisburg, 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 |
|---|---|---|---|
| 1700801685 | NPI | - | NPPES |
| 232809429004 | Other | PA | TRICARE |
| 50071728 | Other | PA | KEYSTONE |
| 970016681 | Other | PA | RAILROAD MEDICARE PTAN |
| 50071728 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA003550L (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | MA003550L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evangelical Community Hospital | Lewisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evangelical Medical Services Organization | 9133033087 | 241 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark William Vergauwen, PA-C 1 Hospital Dr Ste 306, Lewisburg, PA 17837-9350 Ph: (570) 522-4110 | Mark William Vergauwen, PA-C 1 Hospital Dr, Lewisburg, PA 17837-9350 Ph: (570) 522-4264 |
Mr. Ronald Andrew Laino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 | |
Katherine A Kudrick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7095 Westbranch Hwy Ste 1100, Lewisburg, PA 17837 Phone: 570-524-5050 Fax: 570-524-5250 | |
Jennifer A Hoffmaster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 137 Jpm Road, Lewisburg, PA 17837 Phone: 570-523-3937 Fax: 570-524-5279 | |
Alyssa M Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3 Hospital Dr Ste 100, Lewisburg, PA 17837 Phone: 570-524-5056 Fax: 570-524-5061 | |
Sarah Burns, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Jpm Rd, Lewisburg, PA 17837 Phone: 800-598-5096 | |
Mark David Guilzon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-2640 Fax: 570-768-3921 | |
Carol Ann Steckel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3 Hospital Dr, Suite 206, Lewisburg, PA 17837 Phone: 570-524-4141 Fax: 570-524-5218 |