Daniel Reese Shust (NPI# 1720461866, PAC ID# 7315252434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720461866 |
| PAC ID by PECOS | 7315252434 |
| Professional Enrollment ID | I20181106002461 |
| Full Name | Daniel Reese Shust |
| Organization Legal Name | SCRANTON QUINCY CLINIC COMPANY LLC |
| Address |
802 Jefferson Ave Scranton PA 18510-1038 |
| Phone Number | 5703467331 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0143487389 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| 390237 | REGIONAL HOSPITAL OF SCRANTON |
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| 390119 | MOSES TAYLOR HOSPITAL |
| 390270 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 802 Jefferson Ave, Scranton, PA 18510-1038 | 5703467331 | SCRANTON QUINCY CLINIC COMPANY LLC |
| Organization Legal Name | SCRANTON QUINCY CLINIC COMPANY LLC |
| Physicians | 97 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renata Meyer | Internal Medicine | Scranton Quincy Clinic Company LLC | 260 Daleville Hwy, Suite 103, Covington Township, PA 18444-7951 |
| Kelsey Madden | Nurse Practitioner | Scranton Quincy Clinic Company LLC | 611 Morgan Hwy, South Abington Township, PA 18411-9128 |
| Michael Vito Brown | Family Medicine | Scranton Quincy Clinic Company LLC | 5950 State Route 6, 4th Floor, Tunkhannock, PA 18657-7905 |
| Jennifer Swenski | Obstetrics/gynecology | Scranton Quincy Clinic Company LLC | 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 |
| Peter Cognetti | Family Medicine | Scranton Quincy Clinic Company LLC | 822 Mcalpine St, Suite 6, Avoca, PA 18641-1140 |
| Nalini G Kakimallaiah | Internal Medicine | Scranton Quincy Clinic Company LLC | 700 Quincy Ave, Scranton, PA 18510-1724 |
| James A Sheerer | Internal Medicine | Scranton Quincy Clinic Company LLC | 1032 N Washington Ave, Scranton, PA 18509-2918 |
| Barry Lee Green | Obstetrics/gynecology | Scranton Quincy Clinic Company LLC | 150 Brooklyn St, Carbondale, PA 18407-2274 |
| Richard T Behlke | Obstetrics/gynecology | Scranton Quincy Clinic Company LLC | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1993 |
| Dana M Montgomery | Family Medicine | Scranton Quincy Clinic Company LLC | 315 S Main St, Old Forge, PA 18518-1606 |
| Street Address |
802 JEFFERSON AVE |
| City | SCRANTON |
| State | PA |
| Zip | 18510-1038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Kim | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Michael J Baccoli | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Ralf Willem Vandersluis | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Juan C Barrera | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Anees Robert Fogley | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | |
| Seth M Jones | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Charles Steven Deck | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | |
| Amy Michelle Ferranti | Physician Assistant | Cognetti and Conaboy Fam Prac | 802 Jefferson Ave, 1st Fl, Scranton, PA 18510-1080 |
| Jeremiah W Eagen | Nephrology | Northeast Pennsylvania Nephrology Associates P C | 802 Jefferson Ave, Scranton, PA 18510-1080 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Pagnotti | Clinical Psychologist | 824 Adams Ave, Scranton, PA 18510-1002 | |
| Judith Frisbie | Clinical Social Worker | 819 Jefferson Ave, Scranton, PA 18510-1031 | |
| Sheryl J Gross | Clinical Social Worker | 811 Quincy Ave, Scranton, PA 18510-1117 | |
| Joseph J Delserra | General Surgery | Northeastern Surgical Specialists P C | 1110 Clay Ave, Dunmore, PA 18510-1137 |
| Kelly Mcguire | General Surgery | Northeastern Surgical Specialists P C | 1110 Clay Ave, Dunmore, PA 18510-1137 |
| Catherine Patrick | Family Medicine | Geisinger Clinic | 1140 Quincy Ave, Dunmore, PA 18510-1150 |
| Michael Alocci | Internal Medicine | Geisinger Clinic | 1140 Quincy Ave, Dunmore, PA 18510-1150 |
| Alexis Mae Axtell | Physician Assistant | Scot R Mckenna Md PC | 1140 Quincy Ave, Dunmore, PA 18510-1150 |
| Christopher J Yanusas | Psychologist, Clinical | 1141 Clay Ave, Suite 4, Dunmore, PA 18510-1191 | |
| Rita M Tinsley | Clinical Social Worker | 1141 Clay Ave, Dunmore, PA 18510-1191 | |
| Find all physicians in zip 18510 | |||
| City | SCRANTON |
| Zip Code | 18510 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SCRANTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daniel Reese Shust.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.