Fred Lombardo, Pc
Sports Medicine
576 Wyoming Ave, Kingston
Pennsylvania, 18704-3702
570-283-5525 570-714-9638
Fred Lombardo, Pc is a Sports Medicine in Kingston, Pennsylvania. It is located at 576 Wyoming Ave, Kingston and it's customer support contact number is 570-283-5525. The authorized person of Fred Lombardo, Pc is Tonia Avers who is Billing Coordinator of this DME and his contact number is 570-283-5525. Active license number of Fred Lombardo, Pc is SC004059L for Sports Medicine in Pennsylvania. Fred Lombardo, Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fred Lombardo, Pc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Fred Lombardo, Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Fred Lombardo, Pc |
| Type: | Sports Medicine |
| Location: | 576 Wyoming Ave, Kingston,
Pennsylvania, 18704-3702 |
| Phone: | 570-283-5525 |
| Fax: | 570-714-9638 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Tonia Avers |
| Position: | Billing Coordinator |
| Contact Number: | 570-283-5525 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1982889713 |
| NPI Enumeration Date: | 28 Dec, 2007 |
| NPI Last Update On: | 20 Mar, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fred Lombardo, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Sports Medicine | SC004059L | Pennsylvania | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 20816 | Other | | Geisinger |
| 1470984 | Other | | Bsm |
| 60054 | Other | | Aetna |
| 814530 | Other | | First Priority |
Medicare Enrollment:
Fred Lombardo, Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3476446170 | O20040205001122 | Fred Lombardo, Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 3476446170 | O20100930008041 | Fred Lombardo, Pc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 576 Wyoming Ave,
Kingston, Pennsylvania |
| Zip: | 18704-3702 |
| Phone Number: | 570-283-5525 |
| Fax Number: | 570-714-9638 |
Patients can reach Fred Lombardo, Pc at
576 Wyoming Ave, Kingston, Pennsylvania or can
call on customer care at 570-283-5525.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.