Deborah J. Mistal, DO
Individual provider Active NPI Family Medicine Physician · Drums, PA
NPI 1033280417 · NPPES record last updated Apr 3, 2013
Key facts
- NPI
- 1033280417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS005335L (PA)
- Practice address
- 32 West Foothills Drive
Drums, PA 18222 - Phone
- (570) 788-5000
- Fax
- (570) 788-2325
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 48
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
32 W Foothills Dr
Drums, PA 18222-2407
Phone (570) 788-5000
Hospital & facility affiliations
- Maylath Valley Health Systems, Inc.
- Lehigh Valley Hospital - Hazleton
- Geisinger Wyoming Valley Medical Center
- Geisinger Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070621000177 | PA | Practitioner - General Practice |
2668571381 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS005335L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mistal Deborah J DO PC | Current |
Accepting new patients | |
| Deborah J Mistal DO | Family Medicine | Past | Accepting new patients |
Locations
32 W Foothills Dr
Drums, PA 18222
Phone (570) 600-6010
Interoperability endpoints
- https://api.platform.athenahealth.com/12725/brand/1/csg/1/fhir/r4
- deborah.mistal.1@12725.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS005335L | PA | Yes |
Addresses
Primary practice location
32 West Foothills Drive
Drums, PA 18222
Mailing address
PO Box 1347
Kingston, PA 18704-0347
Phone (570) 288-8881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009920370003 | Medicaid | PA | |
| 5183046 | Other | PA | AETNA |
| 003005 | Other | PA | FIRST PRIORITY HEALTH |
| 89664 | Other | PA | HIGHMARK BLUE SHIELD |
| P004937 | Other | PA | GATEWAY HEALTH PLAN |
| 39526 | Other | PA | GEISINGER HEALTH PLAN |
Other providers in Drums, PA
- Maybrook-P Butler Valley Opco, LLC
- Loretta Lee McNeal
- Lisa Medvetz
- Casey Miller
- Mistal Deborah J DO PC
- Colleen Ann Mullery-Franchella
- Lawrence Mulry
- James Edward Nelson
- Northeast Counseling Service
- Northeast Counseling Services
All providers in Drums, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.