Individual provider Active NPI

Wafa S Hanna, MD

  • Family Medicine Physician
  • Palmerton, PA
National Provider Identifier
1851387831
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD148577L Issued in PA
Practice address
528 Delaware Ave
Palmerton, PA 18071-1911
Phone
(610) 900-4950
NPI assigned
Sep 23, 2005
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD148577L PA Primary

Addresses

Primary practice location

528 Delaware Ave
Palmerton, PA 18071-1911

Mailing address

421 W Chew St
Allentown, PA 18102-3406
Phone (610) 776-5100

Other practice location 1

951 N 4th St
Allentown, PA 18102-1852
Phone (610) 434-8801

Other identifiers 6

IdentifierTypeStateIssuer
01697002OtherCBC
181760OtherHIGHMARK BLUE SHIELD
P002825OtherGATEWAY
0018193140001MedicaidPA
1117565OtherAMERIHEALTH MERCY
0155302000OtherIBC

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
I20110113001188 PA Practitioner - Family Practice 4789873241 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

528 Delaware Ave
Palmerton, PA 18071-1911
Phone (610) 900-4950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD148577LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Oct 12, 2023 Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Jun 23, 2018 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Nov 28, 2022 Accepting new patients
Family Care Centers Inc Family Medicine CurrentSince Oct 12, 2023 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Oct 12, 2023 Accepting new patients
Family Care Centers Inc. Family Medicine CurrentSince Oct 12, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Jun 23, 2018 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Nov 28, 2022 Accepting new patients
Sacred Heart Healthcare System Family Medicine Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

451 Chew St
Ste 400
Allentown, PA 18102
Phone (610) 434-4445

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

8031 Main St
Fogelsville, PA 18051
Phone (610) 336-4676

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

100 Community Dr
Tobyhanna, PA 18466
Phone (570) 424-2100

2416 3rd St
Whitehall, PA 18052
Phone (610) 264-2188

Interoperability endpoints

  • Direct secure messaging: whanna722088@direct2.lvhn.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1851387831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-5100",
            "fax_number": "610-663-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 DELAWARE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711911",
            "telephone_number": "610-900-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181021852",
            "country_code": "US",
            "telephone_number": "610-434-8801",
            "fax_number": "610-433-0205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "WAFA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD148577L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "01697002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "181760",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P002825",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018193140001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "1117565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0155302000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

Verify at the official NPI Registry.