SUSAN R. MEDALIE D.O. – NPI #1710365473
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SUSAN MEDALIE is a physician located in POTTSVILLE, PA. NPPES has assigned the NPI number 1710365473 to SUSAN MEDALIE on May 14, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Feb 06, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN MEDALIE below.

NPI Profile for
SUSAN R. MEDALIE

NPI Number
1710365473
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN R. MEDALIE
Credentials
D.O.
Primary location
200 SCHUYLKILL MEDICAL PLZ
POTTSVILLE, PA 17901-3660
Phone: (570) 621-9270 Fax: (570) 621-9271
3 Other location(s):
101 Fairview Cir
Lebanon, PA 17042-9581
Phone: (717) 279-7303
Fax: (717) 279-7471
30 N 4th St
4th and Willow Streets
Lebanon, PA 17046
Phone: (717) 274-0474
6 Perri Ave
Myerstown, PA 17067-3200
Phone: (717) 949-6581
Fax: (717) 949-2816
Mailing address
2100 MACK BLVD FL 4
ALLENTOWN, PA 18103-5622
Phone: (570) 790-2391 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
PA OS018728

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SUSAN MEDALIE is affiliated with the following medical group(s):
  • HOSPITAL
    • SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
      420 SOUTH JACKSON STREET
      POTTSVILLE, PA 17901
  • HOME HEALTH AGENCY
    • GEISINER HOME HEALTH
      1201B N CHURCH STREET, SUITE 403
      HAZLE TOWNSHIP, PA 18202

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