Individual provider Active NPI

Bernard Leo Remakus, MD

  • Internal Medicine Physician
  • Hallstead, PA
National Provider Identifier
1164528089
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD022279E Issued in PA
Practice address
RR2 Steam Hollow Road
Hallstead, PA 18822-0367
Phone
(570) 879-4800
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD022279E PA Primary

Addresses

Primary practice location

RR2 Steam Hollow Road
Hallstead, PA 18822-0367

Mailing address

PO Box 367
Hallstead, PA 18822-0367
Phone (570) 879-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000054 PA Practitioner - Internal Medicine 6406997675 Practice locations: Hallstead, PA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2852 Steam Hollow Rd
Hallstead, PA 18822-8860
Phone (570) 879-4800

Hospital & facility affiliations

  • Barnes-Kasson County Hospital Hospital, Susquehanna, PA, CCN 391309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD022279EPAMDInternal Medicine Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164528089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "HALLSTEAD",
            "state": "PA",
            "postal_code": "188220367",
            "telephone_number": "570-879-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR2 STEAM HOLLOW ROAD",
            "city": "HALLSTEAD",
            "state": "PA",
            "postal_code": "188220367",
            "telephone_number": "570-879-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMAKUS",
        "first_name": "BERNARD",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD022279E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallstead, PA

Sources for this page

Verify at the official NPI Registry.