| Dr David A Scalzo, DPM | |
|
203 Foote Ave, Duryea, PA 18642-1408 | |
| (570) 457-4560 | |
| (570) 457-4562 |
| Full Name | Dr David A Scalzo |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 31 Years |
| Location | 203 Foote Ave, Duryea, 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 |
|---|---|---|---|
| 1477508000 | NPI | - | NPPES |
| 43293 | Other | PA | GEISINGER HEALTH PLAN |
| 0017229870004 | Medicaid | PA | |
| 038773 | Other | PA | PENNSYLVANIA BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC004196L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bangor Podiatry Llc | 5496766271 | 5 |
| David A Scalzo D.p.m.,p.c. | 9436122652 | 3 |
| Provider Name | David A Scalzo D.p.m.,p.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598944936 PECOS PAC ID: 9436122652 Enrollment ID: O20040817000105 |
| Provider Name | Bangor Podiatry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366491938 PECOS PAC ID: 5496766271 Enrollment ID: O20060508000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David A Scalzo, DPM 203 Foote Ave, Duryea, PA 18642-1408 Ph: (570) 457-4560 | Dr David A Scalzo, DPM 203 Foote Ave, Duryea, PA 18642-1408 Ph: (570) 457-4560 |
David A Scalzo D.p.m.,p.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 203 Foote Ave, Duryea, PA 18642 Phone: 570-457-4560 Fax: 570-457-4562 | |
Selina Christina Kaminski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 203 Foote Ave, Duryea, PA 18642 Phone: 570-457-4560 Fax: 570-457-4562 |