Geisinger Jersey Shore Hospital | |
1020 Thompson St Jersey Shore PA 17740-1729 | |
(570) 398-0100 | |
(570) 398-4412 |
Full Name | Geisinger Jersey Shore Hospital |
---|---|
Speciality | General Acute Care Hospital |
Location | 1020 Thompson St, Jersey Shore, Pennsylvania |
Authorized Official Name and Position | Cindy L Mull (SYSTEM DIRECTOR CREDENENROLLMENTS) |
Authorized Official Contact | 5702716603 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geisinger Jersey Shore Hospital 100 N Academy Ave Danville PA 17822-4903 Ph: (570) 271-6144 | Geisinger Jersey Shore Hospital 1020 Thompson St Jersey Shore PA 17740-1729 Ph: (570) 398-0100 |
NPI Number | 1366407587 |
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Provider Enumeration Date | 04/19/2006 |
Last Update Date | 12/10/2024 |
Medicare PECOS PAC ID | 7517954209 |
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Medicare Enrollment ID | O20061104000518 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366407587 | NPI | - | NPPES |
009912 | Other | FIRST PRIORITY HEALTH | |
10011 | Other | GEISINGER HEALTH PLAN | |
5511 | Other | HEALTH AMERICA | |
391300 | Other | BLUE CROSS | |
1007703560003 | Medicaid | PA | |
59746 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
282NC0060X | General Acute Care Hospital - Critical Access | 101401 (Pennsylvania) | Primary |
Provider Name | Catherine Ann Brosius-bolick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336218528 PECOS PAC ID: 2062300247 Enrollment ID: I20040309000673 |
Provider Name | Tammy L Harding-anderer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265406409 PECOS PAC ID: 8527050541 Enrollment ID: I20040331000852 |
Provider Name | William J Schlorff |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1114987930 PECOS PAC ID: 4082690375 Enrollment ID: I20040628000398 |
Provider Name | Jaime Charles Lent |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205882776 PECOS PAC ID: 8022115575 Enrollment ID: I20070518000114 |
Provider Name | Lynn A Grove |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1043426828 PECOS PAC ID: 7012003213 Enrollment ID: I20071019000049 |
Provider Name | Mark E Armstrong |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1013981711 PECOS PAC ID: 6103916523 Enrollment ID: I20071221000102 |
Provider Name | Qingzhong Hao |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1063481836 PECOS PAC ID: 6406933290 Enrollment ID: I20080403000157 |
Provider Name | Robert C Oelhaf |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1285687525 PECOS PAC ID: 3678624764 Enrollment ID: I20090701000172 |
Provider Name | Randal L Shelly |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1730180126 PECOS PAC ID: 7012102163 Enrollment ID: I20101115000516 |
Provider Name | Robert E Purcell |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1992700900 PECOS PAC ID: 2062589054 Enrollment ID: I20110613000240 |
Provider Name | Lisa M Hoffman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1386888287 PECOS PAC ID: 3971765066 Enrollment ID: I20120508000105 |
Provider Name | Jason M Schauer |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1376785535 PECOS PAC ID: 9436315553 Enrollment ID: I20120718000198 |
Provider Name | Scott Vaughan |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1386806628 PECOS PAC ID: 1658537915 Enrollment ID: I20130807000165 |
Provider Name | Wingrove T Jarvis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1780725051 PECOS PAC ID: 6800935164 Enrollment ID: I20130827000617 |
Provider Name | Lauren A Love |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326488677 PECOS PAC ID: 5395988695 Enrollment ID: I20130906000136 |
Provider Name | Mary A Herman |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1265535553 PECOS PAC ID: 4880694595 Enrollment ID: I20150921000981 |
Provider Name | Claire Therese R Southern |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386991487 PECOS PAC ID: 9234447855 Enrollment ID: I20151001001049 |
Provider Name | Mariola Pistoia |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1740531524 PECOS PAC ID: 4082863071 Enrollment ID: I20170821000529 |
Provider Name | Marika Bergenstock |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518386960 PECOS PAC ID: 5890061642 Enrollment ID: I20171023000286 |
Provider Name | David C Mack |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1588059984 PECOS PAC ID: 9931403128 Enrollment ID: I20180621000970 |
Provider Name | Daniel Valdes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528427101 PECOS PAC ID: 9830432392 Enrollment ID: I20190524000191 |
Provider Name | Rebecca Lynn Hoffman |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1740508233 PECOS PAC ID: 3274832688 Enrollment ID: I20190826003859 |
Provider Name | David Rupprecht |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1679008247 PECOS PAC ID: 8628321494 Enrollment ID: I20200629002814 |
Provider Name | Corey Dietz |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1740737865 PECOS PAC ID: 5799065157 Enrollment ID: I20200922000004 |
Provider Name | Angel Rafael Diaz Sanchez |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1346771565 PECOS PAC ID: 5496157471 Enrollment ID: I20210713003430 |
Provider Name | Yingyi Wu |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912428947 PECOS PAC ID: 1658777990 Enrollment ID: I20210910002735 |
Provider Name | Garrett Todd Stoltzfus |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1770043127 PECOS PAC ID: 4587990957 Enrollment ID: I20220816001228 |
Provider Name | Ishmail Saccoh |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1437651338 PECOS PAC ID: 1355698358 Enrollment ID: I20220824001977 |
Provider Name | Carol Stojinski |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1740843424 PECOS PAC ID: 4981074028 Enrollment ID: I20230105001461 |
Provider Name | Matthew Alexander Rae |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1033614649 PECOS PAC ID: 7911255484 Enrollment ID: I20240914000258 |
Provider Name | Hau Ngoc Thi Phan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1801458146 PECOS PAC ID: 9537690821 Enrollment ID: I20240926003018 |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-1991 Fax: 570-398-4607 | |
River Valley Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 259 Allegheny St, Jersey Shore, PA 17740 Phone: 570-567-5418 Fax: 570-666-3074 | |
Cynthia K. Recinto, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Thompson St, Jersey Shore, PA 17740 Phone: 570-398-2600 Fax: 570-398-2055 |