| Hazleton Medical Practice LLC | |
|
141 N Cedar St Hazleton PA 18201-5580 | |
| (570) 497-4419 | |
| (570) 497-4420 |
| Full Name | Hazleton Medical Practice LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 141 N Cedar St, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Pedro Guzman (DIRECTOR) |
| Authorized Official Contact | 5704974419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazleton Medical Practice LLC 141 N Cedar St Hazleton PA 18201-5580 Ph: (570) 497-4419 | Hazleton Medical Practice LLC 141 N Cedar St Hazleton PA 18201-5580 Ph: (570) 497-4419 |
| NPI Number | 1740691955 |
|---|---|
| Provider Enumeration Date | 05/12/2014 |
| Last Update Date | 02/14/2020 |
| Certification Date | 02/14/2020 |
| Medicare PECOS PAC ID | 4082937339 |
|---|---|
| Medicare Enrollment ID | O20141218000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740691955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | MD441284 (Pennsylvania) | Secondary |
| Provider Name | Pedro Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174858104 PECOS PAC ID: 3274677679 Enrollment ID: I20111006000689 |
Stephen N. Shoemaker, D.O., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 E 9th St, Hazleton, PA 18201 Phone: 570-453-2555 |
Poole Chiropractic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Sunburst Dr, Hazleton, PA 18202 Phone: 570-455-5893 Fax: 570-459-5756 |
Michael A. Washinsky, DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 E Borad Street, Suite1, Hazleton, PA 18201 Phone: 570-459-2226 Fax: 570-459-2511 |
Thomas H. Dittman, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N Laurel St, Suite 2 E, Hazleton, PA 18201 Phone: 570-453-0550 Fax: 570-453-0138 |
Geisinger Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 E Broad St, Hazleton, PA 18201 Phone: 570-271-5555 |
Mountain Area Healthcare PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 E Broad St, Hazleton, PA 18201 Phone: 570-454-8204 Fax: 570-459-0099 |