Commonwealth Physician Network Llc - Medicare Primary Care in Nanticoke, PA

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Commonwealth Physician Network Llc is a medicare enrolled primary clinic (Internal Medicine) in Nanticoke, Pennsylvania. The current practice location for Commonwealth Physician Network Llc is 4 E Main St, Nanticoke, Pennsylvania. For appointments, you can reach them via phone at (570) 735-7474. The mailing address for Commonwealth Physician Network Llc is 4000 Meridian Blvd, Franklin, Tennessee and phone number is (615) 465-7000.

Commonwealth Physician Network Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003238635. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (570) 735-7474.

Contact Information

Commonwealth Physician Network Llc
4 E Main St
Nanticoke
PA 18634-1602
(570) 735-7474
(570) 735-2921

Map and Direction


Primary Care Clinic Profile

Full NameCommonwealth Physician Network Llc
SpecialityInternal Medicine
Location4 E Main St, Nanticoke, Pennsylvania
Authorized Official Name and PositionJennifer L Jackson (SENIOR DIRECTOR PROVIDER ENROLLMENT)
Authorized Official Contact8778929815
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Commonwealth Physician Network Llc
4000 Meridian Blvd
Franklin
TN 37067-6325

Ph: (615) 465-7000		Commonwealth Physician Network Llc
4 E Main St
Nanticoke
PA 18634-1602

Ph: (570) 735-7474

NPI Details:

NPI Number1003238635
Provider Enumeration Date01/16/2014
Last Update Date01/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2668696592
Medicare Enrollment IDO20140617000549

Medical Identifiers

Medical identifiers for Commonwealth Physician Network Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003238635NPI-NPPES
102897748 0001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
208600000XSurgery (* (Not Available))Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Commonwealth Physician Network Llc acts as a billing entity for following providers:
Provider NameHelen S Trygar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477592350
PECOS PAC ID: 9739088287
Enrollment ID: I20040105000465
Provider NameJavid Rohullah Amini
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1689609638
PECOS PAC ID: 7517948367
Enrollment ID: I20040527000090
Provider NameMichael G Grasso
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558374983
PECOS PAC ID: 5193709996
Enrollment ID: I20040617001303
Provider NameSanjeev Garg
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1790728574
PECOS PAC ID: 0143206631
Enrollment ID: I20040625000535
Provider NameKrishnakant A Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669485918
PECOS PAC ID: 7719949643
Enrollment ID: I20041102000672
Provider NameMichalene M Torbik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578561023
PECOS PAC ID: 5092750018
Enrollment ID: I20050621000660
Provider NameDenise M Klynowsky-farrell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730169079
PECOS PAC ID: 5193760593
Enrollment ID: I20050627000465
Provider NameNnamdi A Davis
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1609801430
PECOS PAC ID: 4880619675
Enrollment ID: I20051011000551
Provider NameLeonard A Kuchemba
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972539807
PECOS PAC ID: 2365462967
Enrollment ID: I20051128000755
Provider NameBradley David Fenster
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952394314
PECOS PAC ID: 3476574377
Enrollment ID: I20051207000530
Provider NameMohammad S Siddiqui
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659481414
PECOS PAC ID: 1759322506
Enrollment ID: I20060215000216
Provider NameNareshkumar R Shah
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841226701
PECOS PAC ID: 5193734978
Enrollment ID: I20060406000612
Provider NameRon J Konecke
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558397471
PECOS PAC ID: 2466461249
Enrollment ID: I20060406000622
Provider NameEugene John Chiavacci
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1992794630
PECOS PAC ID: 4082610225
Enrollment ID: I20061012000030
Provider NameNalini Mehta
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1487607750
PECOS PAC ID: 5991732968
Enrollment ID: I20061222000207
Provider NameRobert S Boova
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1942244215
PECOS PAC ID: 9638170871
Enrollment ID: I20070130000731
Provider NameWilliam David Hottenstein
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588650154
PECOS PAC ID: 3678677846
Enrollment ID: I20070327000706
Provider NameGary Langieri
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1336139724
PECOS PAC ID: 0143325829
Enrollment ID: I20070425000402
Provider NamePatrick Michael Aquilina
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1023220985
PECOS PAC ID: 5092813014
Enrollment ID: I20070614000118
Provider NameRashad G Choudry
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1407077316
PECOS PAC ID: 1355440959
Enrollment ID: I20070622000180
Provider NameMarie J Adajar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114932829
PECOS PAC ID: 9436249539
Enrollment ID: I20071213000020
Provider NameJaromir Kohout
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1245423367
PECOS PAC ID: 1456441070
Enrollment ID: I20071220000029
Provider NameRobert L Fiorelli
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1568463784
PECOS PAC ID: 1153403803
Enrollment ID: I20080204000026
Provider NameJodi A Calabro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518062595
PECOS PAC ID: 1557440328
Enrollment ID: I20080505000566
Provider NameJuan Jose Derojas
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1073581013
PECOS PAC ID: 1951473982
Enrollment ID: I20080708000161
Provider NameImran Saeed
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1669501748
PECOS PAC ID: 1153495742
Enrollment ID: I20080730000603
Provider NameDavid Horvick
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1205897808
PECOS PAC ID: 5092873828
Enrollment ID: I20091030000178
Provider NameDaniel J Dudrick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003825506
PECOS PAC ID: 6507865623
Enrollment ID: I20091113000276
Provider NameLouise Breakstone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831126010
PECOS PAC ID: 2769554070
Enrollment ID: I20091221000371
Provider NameJacqueline Cain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891708533
PECOS PAC ID: 7113099425
Enrollment ID: I20091221000479
Provider NameAlan Boonin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942237961
PECOS PAC ID: 1850463167
Enrollment ID: I20091222000290
Provider NameMauer Thomas Biscotti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225071087
PECOS PAC ID: 4587572193
Enrollment ID: I20100104000511
Provider NameLanning A Anselmi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932112638
PECOS PAC ID: 6305918616
Enrollment ID: I20100316000280
Provider NameKamlesh R Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235148388
PECOS PAC ID: 0345376836
Enrollment ID: I20100414000298
Provider NameJoan Cerra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710153101
PECOS PAC ID: 7012044290
Enrollment ID: I20100420000439
Provider NameBrian Douglas Mott
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1639165111
PECOS PAC ID: 4082747258
Enrollment ID: I20100809000958
Provider NameMichael L. Sunday
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1336110071
PECOS PAC ID: 4981626009
Enrollment ID: I20101109000748
Provider NameDavid Peter Mouallem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730132200
PECOS PAC ID: 0143315036
Enrollment ID: I20101118000448
Provider NameFrank C Zhang
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1790992063
PECOS PAC ID: 9638367568
Enrollment ID: I20101220000676
Provider NameIra Vohra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871769125
PECOS PAC ID: 0345438719
Enrollment ID: I20101229000639
Provider NameMichael Rittenberg
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1942261375
PECOS PAC ID: 2163574823
Enrollment ID: I20110118000038
Provider NameGary Neale
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1104974328
PECOS PAC ID: 3375630106
Enrollment ID: I20110119000121
Provider NameJohn J Sirotnak
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1790757722
PECOS PAC ID: 0547442501
Enrollment ID: I20110311000409
Provider NameBarry J Pernikoff
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1609844646
PECOS PAC ID: 5799961074
Enrollment ID: I20110523000149
Provider NameNoelle Altavilla
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1275827008
PECOS PAC ID: 3678746278
Enrollment ID: I20111026000761
Provider NameMichael Raklewicz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1770595027
PECOS PAC ID: 0244407427
Enrollment ID: I20120112000100
Provider NameWilliam P Charlton
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1205848462
PECOS PAC ID: 0244497352
Enrollment ID: I20120201000403
Provider NameJames M Mattucci
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528070778
PECOS PAC ID: 7113184243
Enrollment ID: I20120201000570
Provider NameWalter Richard Delgaudio
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1730270968
PECOS PAC ID: 8921266941
Enrollment ID: I20120222000713
Provider NameEssam M Almeky
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548442684
PECOS PAC ID: 8022198688
Enrollment ID: I20130218000175
Provider NameAngela Marie Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093029993
PECOS PAC ID: 8628262730
Enrollment ID: I20130503000322
Provider NameEfkan M Colpan
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1407092224
PECOS PAC ID: 7517108855
Enrollment ID: I20130729000545
Provider NameMatthew N Kozicki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124330410
PECOS PAC ID: 0749415123
Enrollment ID: I20131022000289
Provider NameEric C Burdge
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1851381339
PECOS PAC ID: 3375722523
Enrollment ID: I20140203000202
Provider NameCharles M Geller
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1417932880
PECOS PAC ID: 3577693290
Enrollment ID: I20141021000583
Provider NameAhamed Razveen Shamsedeen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265710693
PECOS PAC ID: 6608008255
Enrollment ID: I20150714000112
Provider NameChristopher M Sanders
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1457543696
PECOS PAC ID: 1759694177
Enrollment ID: I20150714002218
Provider NameKarthik Penumetsa
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1710151527
PECOS PAC ID: 2062728769
Enrollment ID: I20150826000159
Provider NameMichael Vito Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386809283
PECOS PAC ID: 4284808742
Enrollment ID: I20150831002930
Provider NameKalyani Meduri
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1558513168
PECOS PAC ID: 6406032051
Enrollment ID: I20150921002667
Provider NameJulie Ann Ann Kane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114309150
PECOS PAC ID: 1153639364
Enrollment ID: I20151007001270
Provider NameKaren L Zikosky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972988327
PECOS PAC ID: 0143530485
Enrollment ID: I20151117001048
Provider NameCharles R Hughes
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1902807282
PECOS PAC ID: 1153311865
Enrollment ID: I20160816002664
Provider NameLoren Mangino
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851730550
PECOS PAC ID: 1254562309
Enrollment ID: I20161004000274
Provider NameCherise Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558766535
PECOS PAC ID: 7113241365
Enrollment ID: I20161110000793
Provider NameMustapha Daouadi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1598906802
PECOS PAC ID: 4789993395
Enrollment ID: I20170801001509
Provider NameAbhishek Freyer
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1982968459
PECOS PAC ID: 8022380294
Enrollment ID: I20170823000696
Provider NameCindy Wu
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1275814527
PECOS PAC ID: 4385910017
Enrollment ID: I20171025002198
Provider NameRyan Russell Seltzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417486572
PECOS PAC ID: 0244596310
Enrollment ID: I20171106000867
Provider NameKevin K Musto
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669884607
PECOS PAC ID: 4587965470
Enrollment ID: I20171106002117
Provider NameChristopher Thomas Mcandrew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588014518
PECOS PAC ID: 0345506309
Enrollment ID: I20171107001560
Provider NameSarah Evans
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1427562636
PECOS PAC ID: 6103185582
Enrollment ID: I20180110000510
Provider NameAlicia E Novak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902314180
PECOS PAC ID: 9133482847
Enrollment ID: I20180411001227
Provider NamePhilip V Savia
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1487733564
PECOS PAC ID: 6800942673
Enrollment ID: I20180420001053
Provider NameDante M Palumbo
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1306801030
PECOS PAC ID: 6204859838
Enrollment ID: I20181016000577
Provider NameDevin Carey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366822504
PECOS PAC ID: 3476869207
Enrollment ID: I20181031002455
Provider NameEvan Z Nakib
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588830590
PECOS PAC ID: 2567534902
Enrollment ID: I20190125001730
Provider NameJames Noto
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1245641430
PECOS PAC ID: 6709113343
Enrollment ID: I20190806001029
Provider NameNehal Mohammed Aleemuddin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518321082
PECOS PAC ID: 3173819554
Enrollment ID: I20190911000180
Provider NameDean R Adams
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1700926078
PECOS PAC ID: 4688629504
Enrollment ID: I20190919002149
Provider NameTara Mcgraw
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1598156275
PECOS PAC ID: 4789988510
Enrollment ID: I20200917002877
Provider NameWilliam Yi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861628729
PECOS PAC ID: 1254646573
Enrollment ID: I20200922001924
Provider NameMichelle Jeena Im
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134640717
PECOS PAC ID: 4486066982
Enrollment ID: I20201207001299
Provider NameKhalid Sethi
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1699752048
PECOS PAC ID: 4486779121
Enrollment ID: I20210713001101
Provider NameJose Manuel Sarmiento
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1558814053
PECOS PAC ID: 5597021089
Enrollment ID: I20220322001849
Provider NameMazen Tolaymat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902291594
PECOS PAC ID: 1254630833
Enrollment ID: I20220707000957
Provider NameAdil Sattar
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1235440652
PECOS PAC ID: 6709010879
Enrollment ID: I20220804003969
Provider NameEric Rottenberg
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1598793713
PECOS PAC ID: 6103826037
Enrollment ID: I20230422000033
Provider NameJill Ann Ferretti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093490161
PECOS PAC ID: 7416319728
Enrollment ID: I20230818001089

Reviews and Comments


Internal Medicine in Nanticoke, PA

J.t. Huang, M.d. P.c
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Medicare: Not Enrolled in Medicare
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Phone: 570-258-0111    Fax: 570-258-0303
Geisinger Clinic
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Medicare: Not Enrolled in Medicare
Practice Location: 128 E Main St, Nanticoke, PA 18634
Phone: 570-258-1304    
Northeast Counseling Services
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Medicare: Not Enrolled in Medicare
Practice Location: 24-26 E. Broad St, Nanticoke, PA 18634
Phone: 570-735-7590    
Cardiac Rehab Center Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 128 W Washington St, Nanticoke, PA 18634
Phone: 718-534-7888    Fax: 718-874-0088
Janusz Wolanin Md
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 233 S Prospect St, Nanticoke, PA 18634
Phone: 570-735-0102    
Intermed Physicians Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4 E Main St, Nanticoke, PA 18634
Phone: 570-735-7474    Fax: 570-735-2921

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.