MEDICARE: JON A RASO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD053686L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	110130795	OTHER		PALMETTO GBA - RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	016578217	OTHER	PA	HIGHMARK BC BS
2	P853307	OTHER		OXFORD
3	5843921	OTHER		CIGNA HEALTHCARE
4	50017380	OTHER	PA	CAPITAL BLUE CROSS

General Provider Information

NPI Number	:	1609080175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON A RASO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 43
Second Line	:	#10 MOUNT BETHEL PLAZA
City	:	MOUNT BETHEL
State	:	PA
Zip	:	18343-0043
Country	:	US
Telephone Number	:	570-897-7559
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 MOUNT BETHEL PLZ
Second Line	:
City	:	MOUNT BETHEL
State	:	PA
Zip	:	18343-5212
Country	:	US
Telephone Number	:	570-897-7559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	05/10/2024

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Directions to “ JON A RASO M.D.” Practice Location

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