| Dr Brittany Portonova, DPM | |
|
50 Moisey Dr Ste 204, Hazle Township, PA 18202-9297 | |
| (570) 501-6730 | |
| Not Available |
| Full Name | Dr Brittany Portonova |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 14 Years |
| Location | 50 Moisey Dr Ste 204, Hazle Township, 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 |
|---|---|---|---|
| 1124373246 | NPI | - | NPPES |
| 103013382-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006405 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maylath Valley Health Systems, Inc. | Sybertsville, PA | Home health agency |
| Lehigh Valley Home Care Hazleton | Hazleton, PA | Home health agency |
| Lehigh Valley Hospital - Hazleton | Hazleton, PA | Hospital |
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2470 |
| Provider Name | Lehigh Valley Physician Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Provider Name | Hazleton Professional Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brittany Portonova, DPM Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Dr Brittany Portonova, DPM 50 Moisey Dr Ste 204, Hazle Township, PA 18202-9297 Ph: (570) 501-6730 |
Teresa Zierden-landmesser, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1085 N Church St, Hazle Township, PA 18202 Phone: 570-454-4677 Fax: 570-454-0796 |