PHYSICIANS HEALTH ALLIANCE
Medicare Clinicians for NPI 1619254026
Pediatrics - Neonatal-Perinatal Medicine in Scranton, PA

Active since November 14, 2011
700 QUINCY AVE, SCRANTON, PA 18510(570) 340-2552(570) 340-2446 Get Directions

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Physicians Health Alliance in Scranton, PA bills Medicare for 124 clinicians across 18 Medicare specialties. The largest specialties are Obstetrics/Gynecology with 22, Diagnostic Radiology with 19 and Internal Medicine with 17. Of these, 16 practice at this address and 75 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

124Clinicians
18Medicare specialties
124PECOS enrolled
98Accept Medicare
124 clinicians in 18 specialties

Obstetrics/Gynecology (22)

Obstetrics/Gynecology
NPI 1356320865
748 QUINCY AVE SUITE 2A
Scranton, PA 18510
(570) 961-0851
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1639158108
748 QUINCY AVE SUITE 2A
Scranton, PA 18510
(570) 961-0851
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1053390583
748 QUINCY AVE SUITE 2A
Scranton, PA 18510
(570) 961-0851
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1013536507
748 QUINCY AVE STE 2A
Scranton, PA 18510
(570) 961-0851
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1144845215
748 QUINCY AVE STE 2A
Scranton, PA 18510
(570) 961-0851
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1699762302
748 QUINCY AVE STE 2A
Scranton, PA 18510
(570) 961-0851
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1669794707
748 QUINCY AVE SUITE 2A
Scranton, PA 18510
(570) 961-0851
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1700856168
521 MT PLEASANT DR SUITE 101
Scranton, PA 18503
(570) 346-7338
✔ PECOS✔ Accepts Medicare0.9 mi
Obstetrics/Gynecology
NPI 1427028950
521 MT PLEASANT DR SUITE 101
Scranton, PA 18503
(570) 346-7338
✔ PECOS✔ Accepts Medicare0.9 mi
Obstetrics/Gynecology
NPI 1043638240
521 MT PLEASANT DR STE 101
Scranton, PA 18503
(570) 346-7338
✔ PECOS0.9 mi
Obstetrics/Gynecology
NPI 1447220322
521 MT PLEASANT DR SUITE 101
Scranton, PA 18503
(570) 346-7338
✔ PECOS✔ Accepts Medicare0.9 mi
Obstetrics/Gynecology
NPI 1104896042
521 MT PLEASANT DR SUITE 101
Scranton, PA 18503
(570) 346-7338
✔ PECOS✔ Accepts Medicare0.9 mi
Obstetrics/Gynecology
NPI 1114997905
521 MT PLEASANT DR SUITE 101
Scranton, PA 18503
(570) 346-7338
✔ PECOS✔ Accepts Medicare1.2 mi
Obstetrics/Gynecology
NPI 1720058597
521 MT PLEASANT DR SUITE 101
Scranton, PA 18503
(570) 346-7338
✔ PECOS✔ Accepts Medicare1.2 mi
Obstetrics/Gynecology
NPI 1841260601
521 MT PLEASANT DR SUITE 101
Scranton, PA 18503
(570) 346-7338
✔ PECOS✔ Accepts Medicare1.3 mi
Obstetrics/Gynecology
NPI 1922087485
407 N STATE ST
Clarks Summit, PA 18411
(570) 586-9500
✔ PECOS6.8 mi
Obstetrics/Gynecology
NPI 1033156112
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
(570) 808-7916
✔ PECOS✔ Accepts Medicare14 mi
Obstetrics/Gynecology
NPI 1841633039
545 N RIVER ST STE 210
Wilkes Barre, PA 18702
(570) 706-8200
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1558590455
100 N ACADEMY AVE
Danville, PA 17822
(570) 271-6298
✔ PECOS58 mi
Obstetrics/Gynecology
NPI 1487951406
100 N ACADEMY AVE
Danville, PA 17822
(570) 271-6298
✔ PECOS✔ Accepts Medicare58 mi
Obstetrics/Gynecology
NPI 1073554614
3401 N BROAD ST
Philadelphia, PA 19140
(215) 707-4000
✔ PECOS✔ Accepts Medicare100 mi
Obstetrics/Gynecology
NPI 1578723938
7920 OLD CEDAR AVE S
Bloomington, MN 55425
(952) 428-1800
✔ PECOS✔ Accepts Medicare919 mi

Diagnostic Radiology (19)

Diagnostic Radiology
NPI 1861684342
1111 E END BLVD
Wilkes Barre, PA 18711
(570) 824-3521
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1558397471
190 WELLES ST
Forty Fort, PA 18704
(570) 288-0400
✔ PECOS✔ Accepts Medicare15 mi
Diagnostic Radiology
NPI 1649402561
616 MAIN ST
Forest City, PA 18421
(952) 595-1100
✔ PECOS✔ Accepts Medicare18 mi
Diagnostic Radiology
NPI 1780918375
1835 ARCH ST APARTMENT 305
Philadelphia, PA 19103
(215) 435-5689
✔ PECOS✔ Accepts Medicare103 mi
Diagnostic Radiology
NPI 1124161872
1 COOPER PLZ
Camden, NJ 08103
(888) 499-8779
✔ PECOS✔ Accepts Medicare105 mi
Diagnostic Radiology
NPI 1245210608
620 HOWARD AVE
Altoona, PA 16601
(814) 946-2696
✔ PECOS✔ Accepts Medicare156 mi
Diagnostic Radiology
NPI 1578502167
751 LIBERTY ST
Meadville, PA 16335
(814) 333-5144
✔ PECOS234 mi
Diagnostic Radiology
NPI 1487694998
444 W FRANK ST
Birmingham, MI 48009
(248) 593-8098
✔ PECOS✔ Accepts Medicare397 mi
Diagnostic Radiology
NPI 1679684872
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-7243
✔ PECOS✔ Accepts Medicare444 mi
Diagnostic Radiology
NPI 1720280530
2720 SUNSET BLVD
West Columbia, SC 29169
(803) 791-2460
✔ PECOS✔ Accepts Medicare592 mi
Diagnostic Radiology
NPI 1578539557
8201 EAST RIVERSIDE BLVD
Chicago, IL 60673
(815) 971-7000
✔ PECOS621 mi
Diagnostic Radiology
NPI 1093707457
721 W STATE ROUTE 22
Lake Zurich, IL 60047
(708) 827-5732
✔ PECOS645 mi
Diagnostic Radiology
NPI 1396815700
205 MARENGO ST DEPT OF RADIOLOGY
Florence, AL 35630
(256) 768-8392
✔ PECOS✔ Accepts Medicare798 mi
Diagnostic Radiology
NPI 1427013408
6525 FRANCE AVE S
Edina, MN 55435
(952) 915-4310
✔ PECOS✔ Accepts Medicare923 mi
Diagnostic Radiology
NPI 1497702542
11253 S APOPKA VINELAND RD
Orlando, FL 32836
(407) 745-1481
✔ PECOS✔ Accepts Medicare956 mi
Diagnostic Radiology
NPI 1710968433
1600 LAKELAND HILLS BLVD.
Lakeland, FL 33805
(863) 680-7000
✔ PECOS✔ Accepts Medicare987 mi
Diagnostic Radiology
NPI 1649411422
3663 S MIAMI AVE
Miami, FL 33133
(863) 299-1155
✔ PECOS1,111 mi
Diagnostic Radiology
NPI 1528281607
10102 BEVERLY DR
Huntington Beach, CA 92646
(714) 316-8847
✔ PECOS✔ Accepts Medicare2,359 mi
Diagnostic Radiology
NPI 1932239837
1765 CHALLENGE WAY STE 130
Sacramento, CA 95815
(916) 905-5363
✔ PECOS✔ Accepts Medicare2,408 mi

Internal Medicine (17)

Internal Medicine
NPI 1346426830
700 QUINCY AVE
Scranton, PA 18510
(866) 519-0457
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245208081
748 QUINCY AVE SUITE 1A
Scranton, PA 18510
(570) 347-9600
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1881662567
521 ASH ST SUITE 1
Dunmore, PA 18509
(570) 344-2244
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1528321049
521 ASH ST SUITE 1
Dunmore, PA 18509
(570) 344-2244
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1275501264
521 ASH ST SUITE 1
Dunmore, PA 18509
(570) 344-2244
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1275501819
1032 N WASHINGTON AVE
Scranton, PA 18509
(570) 558-8660
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1043451354
1800 MULBERRY ST
Scranton, PA 18510
(570) 703-8231
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1326015322
300 LACKAWANNA AVE
Scranton, PA 18503
(570) 342-7864
✔ PECOS0.9 mi
Internal Medicine
NPI 1326000290
300 LACKAWANNA AVE
Scranton, PA 18503
(570) 342-7864
✔ PECOS✔ Accepts Medicare0.9 mi
Internal Medicine
NPI 1932369626
501 S WASHINGTON AVE STE 1000
Scranton, PA 18505
(570) 941-0630
✔ PECOS✔ Accepts Medicare1.2 mi
Internal Medicine
NPI 1093751034
821 OAK ST
Scranton, PA 18508
(570) 703-0539
✔ PECOS✔ Accepts Medicare2.6 mi
Internal Medicine
NPI 1699719591
1789 N KEYSER AVE
Scranton, PA 18508
(570) 969-1904
✔ PECOS✔ Accepts Medicare2.6 mi
Internal Medicine
NPI 1144282518
1400 MAIN ST
Peckville, PA 18452
(570) 383-0236
✔ PECOS✔ Accepts Medicare5.6 mi
Internal Medicine
NPI 1043288897
407 N STATE ST
Clarks Summit, PA 18411
(570) 586-1134
✔ PECOS✔ Accepts Medicare6.8 mi
Internal Medicine
NPI 1376580456
260 DALEVILLE HWY STE 103
Covington Twp, PA 18444
(570) 842-7746
✔ PECOS9.6 mi
Internal Medicine
NPI 1114922663
1 GUTHRIE SQ
Sayre, PA 18840
(866) 519-0457
✔ PECOS✔ Accepts Medicare63 mi
Internal Medicine
NPI 1154703585
621 RIDGELY AVE STE 201
Annapolis, MD 21401
(410) 224-4887
✔ PECOS✔ Accepts Medicare173 mi

Family Practice (14)

Family Practice
NPI 1477532208
802 JEFFERSON AVE
Scranton, PA 18510
(570) 346-7331
✔ PECOS0.2 mi
Family Practice
NPI 1942289772
802 JEFFERSON AVE
Scranton, PA 18510
(570) 346-7331
✔ PECOS0.2 mi
Family Practice
NPI 1720461866
802 JEFFERSON AVE
Scranton, PA 18510
(570) 346-7331
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1770928947
1789 N KEYSER AVE
Scranton, PA 18508
(570) 969-1904
✔ PECOS✔ Accepts Medicare2.6 mi
Family Practice
NPI 1154412138
1789 N KEYSER AVE
Scranton, PA 18508
(570) 969-1904
✔ PECOS✔ Accepts Medicare2.6 mi
Family Practice
NPI 1982672523
315 S MAIN ST
Old Forge, PA 18518
(570) 457-8364
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1326289836
315 S MAIN ST
Old Forge, PA 18518
(570) 457-8364
✔ PECOS✔ Accepts Medicare5.3 mi
Family Practice
NPI 1255654539
1400 MAIN ST
Peckville, PA 18452
(570) 383-0236
✔ PECOS✔ Accepts Medicare5.6 mi
Family Practice
NPI 1902007990
407 N STATE ST
Clarks Summit, PA 18411
(570) 586-1134
✔ PECOS✔ Accepts Medicare6.8 mi
Family Practice
NPI 1376735571
150 BROOKLYN ST
Carbondale, PA 18407
(570) 282-7646
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1386809283
176 N MAIN ST
Shavertown, PA 18708
(570) 675-0900
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1235457615
114 LT MICHAEL CLEARY DR
Dallas, PA 18612
(570) 675-2000
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1053960088
3306 LAKE ARIEL HWY
Honesdale, PA 18431
(570) 253-0148
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1063049708
435 SOUTH ST STE 220
Morristown, NJ 07960
(973) 971-4222
✔ PECOS✔ Accepts Medicare76 mi

Nurse Practitioner (11)

Nurse Practitioner
NPI 1285407403
700 QUINCY AVE
Scranton, PA 18510
(570) 770-5000
✔ PECOSSame address
Nurse Practitioner
NPI 1437715281
700 QUINCY AVE
Scranton, PA 18510
(866) 519-0457
✔ PECOSSame address
Nurse Practitioner
NPI 1316980303
748 QUINCY AVE SUITE 2A
Scranton, PA 18510
(570) 961-0851
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972988327
743 JEFFERSON AVE SUITE 104
Scranton, PA 18510
(570) 558-0182
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1609422351
521 MT PLEASANT DR STE 101
Scranton, PA 18503
(570) 346-7338
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1043694144
611 MORGAN HIGHWAY
Clarks Summit, PA 18411
(570) 586-6637
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1578063335
315 S MAIN ST
Old Forge, PA 18518
(570) 457-8364
✔ PECOS4.8 mi
Nurse Practitioner
NPI 1639828460
315 S MAIN ST
Old Forge, PA 18518
(570) 457-8364
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1295193878
1400 MAIN ST
Peckville, PA 18452
(570) 307-7600
✔ PECOS✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1861010209
1145 NORTHERN BLVD
South Abington Township, PA 18411
(570) 585-1300
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1740015668
407 N STATE ST
Clarks Summit, PA 18411
(570) 586-1134
✔ PECOS✔ Accepts Medicare6.8 mi

Pediatric Medicine (10)

Pediatric Medicine
NPI 1922063676
700 QUINCY AVE
Scranton, PA 18510
(570) 340-3274
✔ PECOSSame address
Pediatric Medicine
NPI 1902269905
5 MORGAN HWY STE 6
Scranton, PA 18508
(570) 207-4360
✔ PECOS2.7 mi
Pediatric Medicine
NPI 1477875219
5 MORGAN HWY STE 6
Scranton, PA 18508
(570) 207-4360
✔ PECOS2.7 mi
Pediatric Medicine
NPI 1942262837
5 MORGAN HWY STE 6
Scranton, PA 18508
(570) 207-4360
✔ PECOS2.7 mi
Pediatric Medicine
NPI 1922261411
206 E BROWN ST
East Stroudsburg, PA 18301
(570) 422-8288
✔ PECOS38 mi
Pediatric Medicine
NPI 1922081272
206 E BROWN ST
East Stroudsburg, PA 18301
(570) 422-8288
✔ PECOS38 mi
Pediatric Medicine
NPI 1477970556
111 S FRONT ST
Harrisburg, PA 17101
(347) 257-6544
✔ PECOS102 mi
Pediatric Medicine
NPI 1215982392
5755 CEDAR LN HOWARD COUNTY GENERAL HOSPITAL
Columbia, MD 21044
(410) 740-7559
✔ PECOS165 mi
Pediatric Medicine
NPI 1215317185
800 WASHINGTON ST
Boston, MA 02111
(973) 975-7456
✔ PECOS245 mi
Pediatric Medicine
NPI 1790781946
5151 N 9TH AVE
Pensacola, FL 32504
(850) 416-1900
✔ PECOS992 mi

Hospitalist (7)

Hospitalist
NPI 1861460545
700 QUINCY AVE
Scranton, PA 18510
(866) 519-0457
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1023258126
700 QUINCY AVE HOSPITALIST OFFICE
Scranton, PA 18510
(866) 519-0457
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1649410796
746 JEFFERSON AVE HOSPITALIST OFFICE
Scranton, PA 18510
(570) 340-5079
✔ PECOS✔ Accepts Medicare0.3 mi
Hospitalist
NPI 1447490602
1032 N WASHINGTON AVE
Scranton, PA 18509
(570) 558-8660
✔ PECOS0.5 mi
Hospitalist
NPI 1588752661
1800 MULBERRY ST
Scranton, PA 18510
(570) 703-7351
✔ PECOS✔ Accepts Medicare0.8 mi
Hospitalist
NPI 1710326624
300 LACKAWANNA AVE STE 200
Scranton, PA 18503
(570) 342-7864
✔ PECOS✔ Accepts Medicare0.9 mi
Hospitalist
NPI 1366605230
595 W STATE ST
Doylestown, PA 18901
(215) 345-2885
✔ PECOS✔ Accepts Medicare81 mi

Gastroenterology (4)

Gastroenterology
NPI 1568419760
743 JEFFERSON AVE STE 203
Scranton, PA 18510
(570) 344-9457
✔ PECOS✔ Accepts Medicare0.3 mi
Gastroenterology
NPI 1104864966
681 SCRANTON CARBONDALE HWY
Eynon, PA 18403
(570) 876-5900
✔ PECOS✔ Accepts Medicare7.5 mi
Gastroenterology
NPI 1972839082
400 HIGHLAND AVE
Lewistown, PA 17044
(717) 248-5411
✔ PECOS✔ Accepts Medicare114 mi
Gastroenterology
NPI 1750526141
701 W COCOA BEACH CSWY
Cocoa Beach, FL 32931
(321) 434-8078
✔ PECOS✔ Accepts Medicare942 mi

General Surgery (3)

General Surgery
NPI 1083143770
743 JEFFERSON AVE STE 104
Scranton, PA 18510
(570) 207-0433
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1144462615
743 JEFFERSON AVE STE 104
Scranton, PA 18510
(570) 207-0433
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1336110071
743 JEFFERSON AVE STE 303
Scranton, PA 18510
(570) 207-0433
✔ PECOS✔ Accepts Medicare0.3 mi

Urology (3)

Urology
NPI 1053313478
250 KENNEDY BLVD UNIT 2
Pittston, PA 18640
(570) 491-8141
✔ PECOS✔ Accepts Medicare9.6 mi
Urology
NPI 1720432578
3400 SPRUCE ST
Philadelphia, PA 19104
(215) 316-5151
✔ PECOS✔ Accepts Medicare104 mi
Urology
NPI 1396712139
2 ELLINWOOD DR
New Hartford, NY 13413
(315) 724-1012
✔ PECOS✔ Accepts Medicare117 mi

Emergency Medicine (2)

Emergency Medicine
NPI 1285621557
1209 SWETLAND ST
Scranton, PA 18504
(570) 207-0650
✔ PECOS✔ Accepts Medicare1.5 mi
Emergency Medicine
NPI 1285690669
350 W CEDAR ST
Pensacola, FL 32502
(800) 444-7009
✔ PECOS996 mi

Hospice/Palliative Care (2)

Hospice/Palliative Care
NPI 1457765141
1255 S CEDAR CREST BLVD STE 3500
Allentown, PA 18103
(610) 402-0100
✔ PECOS✔ Accepts Medicare59 mi
Hospice/Palliative Care
NPI 1639379258
1255 S CEDAR CREST BLVD STE 3500
Allentown, PA 18103
(610) 969-0100
✔ PECOS✔ Accepts Medicare59 mi

Interventional Radiology (2)

Interventional Radiology
NPI 1689884330
1000 E MOUNTAIN BLVD
Wilkes Barre, PA 18711
(570) 808-7779
✔ PECOS✔ Accepts Medicare13 mi
Interventional Radiology
NPI 1619911799
400 TURNPIKE ST
Susquehanna, PA 18847
(570) 281-1287
✔ PECOS✔ Accepts Medicare37 mi

Podiatry (2)

Podiatry
NPI 1427014521
748 QUINCY AVE 1A
Scranton, PA 18510
(570) 347-9600
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1578525929
1032 N WASHINGTON AVE
Scranton, PA 18509
(570) 558-8660
✔ PECOS✔ Accepts Medicare0.5 mi

Pulmonary Disease (2)

Pulmonary Disease
NPI 1053498170
1800 MULBERRY ST.
Scranton, PA 18510
(570) 703-8231
✔ PECOS✔ Accepts Medicare0.8 mi
Pulmonary Disease
NPI 1831394436
160 N MIDLAND AVE
Nyack, NY 10960
(845) 348-2000
✔ PECOS✔ Accepts Medicare92 mi

Vascular Surgery (2)

Vascular Surgery
NPI 1003073388
743 JEFFERSON AVE STE 104
Scranton, PA 18510
(570) 207-0433
✔ PECOS✔ Accepts Medicare0.3 mi
Vascular Surgery
NPI 1235165168
604 DIVISION ST
Clarks Summit, PA 18411
(570) 319-6933
✔ PECOS✔ Accepts Medicare6.3 mi

Colorectal Surgery (Proctology) (1)

Colorectal Surgery (Proctology)
NPI 1902807282
743 JEFFERSON AVE STE 104
Scranton, PA 18510
(570) 344-9457
✔ PECOS✔ Accepts Medicare0.3 mi

Gynecological Oncology (1)

Gynecological Oncology
NPI 1558552521
743 JEFFERSON AVE STE 206
Scranton, PA 18510
(570) 208-0150
✔ PECOS✔ Accepts Medicare0.3 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Physicians Health Alliance appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.