| Nicole Marie Misko, PAC | |
|
410 N Krocks Rd, Allentown, PA 18106-9283 | |
| (888) 982-8594 | |
| Not Available |
| Full Name | Nicole Marie Misko |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 410 N Krocks Rd, Allentown, 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 |
|---|---|---|---|
| 1104202654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00373800 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | MA057701 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Hospital - Upper Bucks Campus | Quakertown, PA | Hospital |
| St Luke's Warren Hospital | Phillipsburg, NJ | Hospital |
| St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
| St Luke's Hospital - Carbon Campus | Lehighton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Physician Group Inc | 6709798333 | 2161 |
| American Telehealth Llc | 6608156906 | 43 |
| St Lukes Warren Physician Group Pc | 9739093675 | 374 |
| American Telehealth Llc | 6608156906 | 43 |
| American Telehealth Llc | 6608156906 | 43 |
| American Telehealth Llc | 6608156906 | 43 |
| 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 | American Telehealth LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245600022 PECOS PAC ID: 6608156906 Enrollment ID: O20161202000579 |
| 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 |
|---|---|
| Nicole Marie Misko, PAC Po Box 159, Barrington, NJ 08007-0159 Ph: (888) 982-8594 | Nicole Marie Misko, PAC 410 N Krocks Rd, Allentown, PA 18106-9283 Ph: (888) 982-8594 |
Miss Lindsey R. Reyes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103 Phone: 610-402-3110 Fax: 610-402-3112 |
Mr. Anthony J Liotta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd, Suite 308, Allentown, PA 18103 Phone: 610-402-1314 |
Carissa Lynn Werkheiser, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 798 Hausman Rd, Suite 270, Allentown, PA 18104 Phone: 610-871-3400 Fax: 610-871-5566 |
Mr. Andrew John Ferretti, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1575 Pond Rd, Ste 203, Allentown, PA 18104 Phone: 610-366-1366 Fax: 610-366-7412 |
Andrea Julia Bone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3151 Walbert Ave Ste 302, Allentown, PA 18104 Phone: 484-526-6545 |
Mr. James Bagley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1250 S Cedar Crest Blvd, Ste 205, Allentown, PA 18103 Phone: 610-439-8856 Fax: 610-439-1314 |
Jillian Hodanich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103 Phone: 610-402-7880 Fax: 610-402-7881 |