Paul Raymond Mahler Jr., D.C.
Individual provider Active NPI Chiropractor · Forty Fort, PA
NPI 1245217595 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1245217595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC008627 (PA)
- Practice address
- 1144 Wyoming Ave
Forty Fort, PA 18704-4015 - Phone
- (570) 283-1610
- Fax
- (570) 338-6974
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1144 Wyoming Ave
Forty Fort, PA 18704-4015
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060405000343 | PA | Practitioner - Chiropractic | 0345258109 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Valley Family Chiropractic Center | Chiropractor | Current |
Accepting new patients |
Locations
1144 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-1610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC008627 | PA | Yes |
Addresses
Primary practice location
1144 Wyoming Ave
Forty Fort, PA 18704-4015
Mailing address
1144 Wyoming Ave
Forty Fort, PA 18704-4015
Phone (570) 283-1610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 817976 | Other | PA | FIRST PRIORITY BC/BS NEPA |
| 053005U8R | Other | MEDICARE PTAN | |
| 0018774160001 | Medicaid | PA | |
| 043648674 | Other | PA | DEVON |
| 1334931 | Other | PA | BLUE CROSS/ BLUE SHEILD |
Other providers in Forty Fort, PA
- Stephen Mark Lawrence
- Elizabeth Leake
- Gerald J Levandoski
- Gina Elizabeth Lispi-Murray
- Awathif Dhanya Mackeen
- Loren Mangino
- Macy Marturano
- Kacie Massaker
- Carrie Eileen Massura
- Mary Elizabeth McCann
All providers in Forty Fort, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. 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.
- 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.