Dr David Joseph Scopelliti, DMD | |
1 Guthrie Sq, Sayre, PA 18840-1625 | |
(570) 888-5858 | |
Not Available |
Full Name | Dr David Joseph Scopelliti |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1 Guthrie Sq, Sayre, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487628152 | NPI | - | NPPES |
GU039851 | Other | PA | PA MEDICARE GROUP |
190009642 | Other | PA | RR MEDICARE PIN |
0010875440001 | Medicaid | PA | |
01032342 | Medicaid | NY | |
CC9269 | Other | PA | RR MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 048636-1 (New York) | Secondary |
122300000X | Dentist | DS025428L (Pennsylvania) | Primary |
Entity Name | Guthrie Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
Entity Name | Guthrie Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Independent Clinical Laboratory |
Entity Identifiers | NPI Number: 1649225855 PECOS PAC ID: 6002728656 Enrollment ID: O20071113000292 |
Mailing Address | Practice Location Address |
---|---|
Dr David Joseph Scopelliti, DMD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr David Joseph Scopelliti, DMD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Bhavin S Shah, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 408 N Keystone Ave, Sayre, PA 18840 Phone: 732-491-6438 Fax: 570-888-5607 | |
Dr. Stanley M. Shafer, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 408 N Keystone Ave, Sayre, PA 18840 Phone: 570-888-4800 Fax: 570-888-5607 | |
Dr. Tony V. Pasquale, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. David Ferguson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Karen Ann Jaggars, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 South Wilbur Ave, Sayre, PA 18840 Phone: 570-888-5000 | |
Dr. John Michael Sands, MD, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2418 | |
Dr. Ronald R. Girard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |