Graciela Catalina Bianco, M.D.
Individual provider Active NPI Pediatrics Physician · Hazleton, PA
NPI 1740230978 · NPPES record last updated Jun 23, 2020
Key facts
- NPI
- 1740230978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD430628 (PA)
- Practice address
- 426 Airport Road Ste 134
Beltway Commons
Hazleton, PA 18202-3840 - Phone
- (570) 501-7512
- Fax
- (570) 501-7515
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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 |
|---|---|---|---|---|
| I20070511000040 | PA | Practitioner - Pediatric Medicine | 2567449515 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001174 | NY | MD | Midwife |
| MD430628 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Pediatrics | Current |
Accepting new patients |
| Caring Community Health Center | Current | Accepting new patients | |
| Caring Community Health Center | Current |
Accepting new patients | |
| Caring Community Health Center | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Pediatrics | Past |
Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
426 Airport Rd
Ste 134
Hazle Township, PA 18202
Phone (570) 501-7512
426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621
Interoperability endpoints
- gbianco84376@direct.geisinger.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD430628 | PA | Yes |
Addresses
Primary practice location
426 Airport Road Ste 134
Beltway Commons
Hazleton, PA 18202-3840
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018576950001 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gbianco84376@direct.geisinger.edu | Direct |
Other providers in Hazleton, PA
- Bayada Home Health Care, Inc.
- Beechmont Anesthesia
- Sarah Beishline
- Scott Joseph Bene
- Ashok V Bhalodi
- Janis Billig
- Bio-Medical Applications of Pennsylvania, Inc.
- Bassam Faiz Bittar
- Megan Bobish
- Brittany Bohach
All providers in Hazleton, PA · Pediatrics 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 Jun 23, 2020. 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.