Scranton Primary Health Care Center, Inc. - Medicare Primary Care in Scranton, PA

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Scranton Primary Health Care Center, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Scranton, Pennsylvania. The current practice location for Scranton Primary Health Care Center, Inc. is 959 Wyoming Ave, Scranton, Pennsylvania. For appointments, you can reach them via phone at (570) 344-3517. The mailing address for Scranton Primary Health Care Center, Inc. is 959 Wyoming Ave., Scranton, Pennsylvania and phone number is (570) 344-3517.

Scranton Primary Health Care Center, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1801871579. 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) 344-3517.

Contact Information

Scranton Primary Health Care Center, Inc.
959 Wyoming Ave
Scranton
PA 18509-3023
(570) 344-3517
(570) 344-6839

Map and Direction


Primary Care Clinic Profile

Full NameScranton Primary Health Care Center, Inc.
SpecialityClinic/Center
Location959 Wyoming Ave, Scranton, Pennsylvania
Authorized Official Name and PositionJoseph H Hollander (CEO)
Authorized Official Contact5703443517
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Scranton Primary Health Care Center, Inc.
959 Wyoming Ave.
Scranton
PA 18509-3023

Ph: (570) 344-3517		Scranton Primary Health Care Center, Inc.
959 Wyoming Ave
Scranton
PA 18509-3023

Ph: (570) 344-3517

NPI Details:

NPI Number1801871579
Provider Enumeration Date12/14/2005
Last Update Date10/01/2020

Medicare PECOS Information:

Medicare PECOS PAC ID0941206650
Medicare Enrollment IDO20061019000363

Medical Identifiers

Medical identifiers for Scranton Primary Health Care Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801871579NPI-NPPES
1007288710003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. Scranton Primary Health Care Center, Inc. acts as a billing entity for following providers:
Provider NameLuiz Felipe Galvao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225081706
PECOS PAC ID: 6800861212
Enrollment ID: I20040830000596
Provider NameAmy M Schoonover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285691444
PECOS PAC ID: 4688638109
Enrollment ID: I20041124000173
Provider NameShubhra M Shetty
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649264532
PECOS PAC ID: 5890791420
Enrollment ID: I20061004000568
Provider NameElaine Richards-hercher
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1568448835
PECOS PAC ID: 4183620800
Enrollment ID: I20061019000400
Provider NameWasique M Mirza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851376826
PECOS PAC ID: 9234136391
Enrollment ID: I20061102000239
Provider NameKimberly A Barilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346340064
PECOS PAC ID: 1052490794
Enrollment ID: I20080506000431
Provider NameDana M Montgomery
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033326772
PECOS PAC ID: 6709945025
Enrollment ID: I20081031000298
Provider NameCarole L Willson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346473030
PECOS PAC ID: 1355470824
Enrollment ID: I20100520000726
Provider NameChristine A Burke
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174513287
PECOS PAC ID: 3971816158
Enrollment ID: I20150716002147
Provider NameWilliam P Yeomans
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1376755355
PECOS PAC ID: 4880995166
Enrollment ID: I20151209002860
Provider NameArchana Singh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407295439
PECOS PAC ID: 7416258165
Enrollment ID: I20161025002856
Provider NameKrysten Duliba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649726043
PECOS PAC ID: 2961782255
Enrollment ID: I20161202000144
Provider NameJanice N John-lewis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992966626
PECOS PAC ID: 8224259858
Enrollment ID: I20170530000957
Provider NameRyan C Dell'aglio
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1699110775
PECOS PAC ID: 0941503627
Enrollment ID: I20170608000342
Provider NameMaria J Tacelosky
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1639292360
PECOS PAC ID: 6103146147
Enrollment ID: I20181030001905
Provider NameJohn R Mcguire
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1366852238
PECOS PAC ID: 1456656974
Enrollment ID: I20190321000120
Provider NameLisa Black-lafferty
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366914657
PECOS PAC ID: 1456692037
Enrollment ID: I20190409000100
Provider NameMichael Madden
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1306209002
PECOS PAC ID: 0143516401
Enrollment ID: I20190930001600
Provider NameKari A Myder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801411475
PECOS PAC ID: 9739591199
Enrollment ID: I20201209002293
Provider NameAiman Aslam
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1568925428
PECOS PAC ID: 3971903287
Enrollment ID: I20210608002055
Provider NameElise M Stavish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740956044
PECOS PAC ID: 6002208071
Enrollment ID: I20220125001315
Provider NameHeidi Mosher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154080331
PECOS PAC ID: 7012303894
Enrollment ID: I20220404001252
Provider NameAshley N Schrader
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841966645
PECOS PAC ID: 9133516909
Enrollment ID: I20220426000206
Provider NameRobert M Riley
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1194891341
PECOS PAC ID: 2365732799
Enrollment ID: I20230104000057
Provider NameJames F Duffy
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1174695266
PECOS PAC ID: 1759395742
Enrollment ID: I20230111002012
Provider NameDeborah Tyokighir
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1750941951
PECOS PAC ID: 8921334681
Enrollment ID: I20231107003754
Provider NameSaloni Nisarahmed Mansuri
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1225768864
PECOS PAC ID: 1153778030
Enrollment ID: I20231115000241
Provider NameAnjalika Gupta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972093474
PECOS PAC ID: 2668726480
Enrollment ID: I20231202000625
Provider NameDarrin Michael Wiederhold
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1790845808
PECOS PAC ID: 5698036671
Enrollment ID: I20240126003263

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.