Matthew Desciak, M.D.
Individual provider Active NPI Anesthesiology Physician · Wilkes Barr, PA
NPI 1306068705 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1306068705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD438999 (PA)
- Practice address
- 1000 East Moutain Blvd
Wilkes Barr, PA 18711-4903 - Phone
- (570) 808-7850
- Fax
- (570) 808-7855
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 30
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Pittsburgh School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850
Hospital & facility affiliations
- Geisinger Wyoming Valley Medical Center
- Geisinger-Community 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 |
|---|---|---|---|---|
| I20100628000660 | PA | Practitioner - Anesthesiology | 5294866711 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD438999 | PA | Yes |
Addresses
Primary practice location
1000 East Moutain Blvd
Wilkes Barr, PA 18711-4903
Mailing address
100 North Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. 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.