Paul W. Bisio, D.O.
Individual provider Active NPI Family Medicine Physician · Mount Pocono, PA
NPI 1245205608 · NPPES record last updated Mar 9, 2016
Key facts
- NPI
- 1245205608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS009607L (PA)
- Practice address
- 21 Commerce Cir
Mount Pocono, PA 18344-1362 - Phone
- (570) 839-3633
- Fax
- (570) 839-6490
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NJ
- 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 |
|---|---|---|---|---|
| I20050607001142 | PA | Practitioner - Family Practice | 9234172594 | |
| I20180426000481 | NJ | Practitioner - Family Practice | 9234172594 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS009607L | PA | Yes |
Addresses
Primary practice location
21 Commerce Cir
Mount Pocono, PA 18344-1362
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001864580 | Medicaid | PA |
Other providers in Mount Pocono, PA
- Asian Institute of Healing Arts, P.C.
- Christopher L. Bahara
- Makenzie Elizabeth Batt
- Lori Eileen Bertanzetti
- Best Vision Center Inc
- Sylvia M. Bolock
- Bracey'S Mount Pocono, Inc.
- Lisa Brown
- William Michael Burkit
- Ishima Q Butler
All providers in Mount Pocono, 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 Mar 9, 2016. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.