Alan B Roessler, MD | |
3344 Chambers Rd, Horseheads, NY 14845-1403 | |
(607) 734-2264 | |
(607) 734-2932 |
Full Name | Alan B Roessler |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3344 Chambers Rd, Horseheads, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295770352 | NPI | - | NPPES |
161355553 | Other | BUSINESS TAX ID | |
00372665 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 130308 (New York) | Primary |
Entity Name | Guthrie Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
Mailing Address | Practice Location Address |
---|---|
Alan B Roessler, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Alan B Roessler, MD 3344 Chambers Rd, Horseheads, NY 14845-1403 Ph: (607) 734-2264 |
Dr. Olusoji Derek Olakanpo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 100, Horseheads, NY 14845 Phone: 607-734-2264 | |
Dr. Ravi Raj Kavuda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 John Roemmelt Dr Ste 203, Horseheads, NY 14845 Phone: 607-481-2059 Fax: 607-367-5007 | |
Dr. Eileen M Reardon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2778 Westinghouse Rd, Horseheads, NY 14845 Phone: 607-739-1076 | |
John Juriga, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932 | |
Amy L White, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-767-0340 | |
Dr. Tina Marie Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3344 Chambers Rd Ste 200, Horseheads, NY 14845 Phone: 607-734-2264 Fax: 607-734-2932 |