Provider Demographics
NPI:1518046465
Name:JUSINSKI, MICHAEL G (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:G
Last Name:JUSINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:614 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071
Mailing Address - Country:US
Mailing Address - Phone:484-822-5320
Mailing Address - Fax:484-822-8321
Practice Address - Street 1:614 DELAWARE AVE.
Practice Address - Street 2:
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071-1518
Practice Address - Country:US
Practice Address - Phone:484-822-5320
Practice Address - Fax:484-822-5321
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD429684207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
113835OtherGEISINGER HEALTH PLAN
1985190OtherHIGHMARK BLUE SHIELD
3120202OtherCIGNA HEALTHCARE
732955OtherHEALTH AMERICA/HEALTH ASSURANCE
2840104OtherUNITED HEALTHCARE
50073442OtherCAPITAL BLUE CROSS
50073442OtherKEYSTONE HEALTH PLAN CENTRAL
1749244OtherAETNA - HMO
9571068OtherAETNA - PPO
2840104OtherUNITED HEALTHCARE