Lake Scranton Urgent Care Llc - Medicare Primary Care in Scranton, PA

Lake Scranton Urgent Care Llc is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Scranton, Pennsylvania. The current practice location for Lake Scranton Urgent Care Llc is 1141 Moosic St, Suite 3, Scranton, Pennsylvania. For appointments, you can reach them via phone at (570) 800-5926. The mailing address for Lake Scranton Urgent Care Llc is 1141 Moosic St, Suite 3, Scranton, Pennsylvania and phone number is (570) 800-5926.

Lake Scranton Urgent Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194186957. 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) 800-5926.

Contact Information

Lake Scranton Urgent Care Llc
1141 Moosic St
Suite 3
Scranton
PA 18505-2105
(570) 800-5926
(570) 955-5556

Map and Direction


Primary Care Clinic Profile

Full NameLake Scranton Urgent Care Llc
SpecialityClinic/Center
Location1141 Moosic St, Scranton, Pennsylvania
Authorized Official Name and PositionBrianne Balchune (OFFICE MANAGER)
Authorized Official Contact5708005926
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Scranton Urgent Care Llc
1141 Moosic St
Suite 3
Scranton
PA 18505-2105

Ph: (570) 800-5926
Lake Scranton Urgent Care Llc
1141 Moosic St
Suite 3
Scranton
PA 18505-2105

Ph: (570) 800-5926

NPI Details:

NPI Number1194186957
Provider Enumeration Date03/08/2016
Last Update Date03/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0648554220
Medicare Enrollment IDO20170227000830

Medical Identifiers

Medical identifiers for Lake Scranton Urgent Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194186957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
261QE0002XClinic/center - Emergency Care (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lake Scranton Urgent Care Llc acts as a billing entity for following providers:
Provider NameMichael J Rogan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114993227
PECOS PAC ID: 7315832938
Enrollment ID: I20040220000801
Provider NameJohn Haber
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023069457
PECOS PAC ID: 6204812985
Enrollment ID: I20040624001156
Provider NameJill Diane Kissolovege
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235332263
PECOS PAC ID: 3678505872
Enrollment ID: I20050908000831
Provider NameTara Ann Cywinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437165305
PECOS PAC ID: 0042301806
Enrollment ID: I20070808000309
Provider NameJerrica Sheridan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831530427
PECOS PAC ID: 9830323351
Enrollment ID: I20131016000139
Provider NameAmanda Lee Crambo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740699636
PECOS PAC ID: 7911229067
Enrollment ID: I20141201001601
Provider NameValerie A Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720301575
PECOS PAC ID: 9133431331
Enrollment ID: I20150630003024
Provider NameErika Black
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932616356
PECOS PAC ID: 3375806920
Enrollment ID: I20180412000218

Reviews and Comments


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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.