| Haley Family Practice | |
|
10 Dundaff St Carbondale PA 18407-1869 | |
| (570) 281-3366 | |
| (570) 281-3373 |
| Full Name | Haley Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Dundaff St, Carbondale, Pennsylvania |
| Authorized Official Name and Position | Matthew C Haley (PRESIDENT) |
| Authorized Official Contact | 5702813366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Family Practice 10 Dundaff St Carbondale PA 18407-1869 Ph: (570) 281-3366 | Haley Family Practice 10 Dundaff St Carbondale PA 18407-1869 Ph: (570) 281-3366 |
| NPI Number | 1790967644 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 01/20/2011 |
| Medicare PECOS PAC ID | 1052598059 |
|---|---|
| Medicare Enrollment ID | O20110531000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790967644 | NPI | - | NPPES |
| 002913 | Other | FIRST PRIORITY HEALTH | |
| 51793 | Other | GEISINGER | |
| 001703829 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS009640L (Pennsylvania) | Primary |
| Provider Name | Helen S Trygar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477592350 PECOS PAC ID: 9739088287 Enrollment ID: I20040105000465 |
| Provider Name | Matthew C Haley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851384085 PECOS PAC ID: 9739175456 Enrollment ID: I20040420001473 |
| Provider Name | Joan Cerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710153101 PECOS PAC ID: 7012044290 Enrollment ID: I20100420000439 |
| Provider Name | Alyssa Mary Kasheta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508484544 PECOS PAC ID: 7214353432 Enrollment ID: I20200819001148 |
Salem Ave Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Salem Ave, Carbondale, PA 18407 Phone: 772-252-1235 Fax: 772-934-8300 | |
Tamrat Bekele Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Fallbrook St, Carbondale, PA 18407 Phone: 570-282-3151 | |
Lvpg Family And Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Brooklyn St, Carbondale, PA 18407 Phone: 570-281-6670 Fax: 570-281-6669 | |
Whites Crossing Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Honesdale Rd, Carbondale, PA 18407 Phone: 570-282-2456 Fax: 570-282-9114 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Brooklyn St, Ste B, Carbondale, PA 18407 Phone: 570-282-4100 Fax: 570-282-4200 | |
Northeast Physician Housecalls, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Dundaff St, Carbondale, PA 18407 Phone: 570-650-7282 |