| Stephen Gitkos, PA-C, CAQ-PSYCH | |
|
60 Glenmaura National Blvd, Moosic, PA 18507-2101 | |
| (570) 301-5000 | |
| Not Available |
| Full Name | Stephen Gitkos |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 60 Glenmaura National Blvd, Moosic, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457894917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA058768 (Pennsylvania) | Primary |
| 363A00000X | Physician Assistant | OA004043 (Pennsylvania) | Secondary |
| 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 | Glenmaura Holdings, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942914924 PECOS PAC ID: 3173989456 Enrollment ID: O20230818001190 |
| Entity Name | Danville Hospital Opco LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790576049 PECOS PAC ID: 3173025988 Enrollment ID: O20251013004167 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Gitkos, PA-C, CAQ-PSYCH 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Stephen Gitkos, PA-C, CAQ-PSYCH 60 Glenmaura National Blvd, Moosic, PA 18507-2101 Ph: (570) 301-5000 |
Mrs. Amanda Lyn Fidiam, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 |
Mr. Joseph Feistl, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 |
Liza Rose Beviglia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 |
Matthew Vinnacombe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 |
Kacey A Tomko, PA-C, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 |
Jade Lynn Holley, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 532 Main St, Suite 1, Moosic, PA 18507 Phone: 570-471-3569 |
Abigail Skene, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 |