Benjamin L Park, DO | |
1 Guthrie Sq, Sayre, PA 18840-1625 | |
(570) 887-5583 | |
Not Available |
Full Name | Benjamin L Park |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 13 Years |
Location | 1 Guthrie Sq, Sayre, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205121639 | NPI | - | NPPES |
1030313710001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | OS017425 (Pennsylvania) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Indiana Regional Medical Center | Indiana, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Punxsutawney Medical Services Inc | 2961396346 | 31 |
Entity Name | Punxsutawney Medical Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255849683 PECOS PAC ID: 2961396346 Enrollment ID: O20040209000720 |
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 | Dubois Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447357843 PECOS PAC ID: 5890689715 Enrollment ID: O20040326001197 |
Entity Name | Indiana Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1265425359 PECOS PAC ID: 6800791187 Enrollment ID: O20050426000868 |
Mailing Address | Practice Location Address |
---|---|
Benjamin L Park, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Benjamin L Park, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 887-5583 |
Dr. Badri Wahab Zahreddine, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5583 Fax: 570-887-4464 | |
Dr. Burdett Roy Porter, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-6133 Fax: 570-887-4464 | |
Dr. Gita S. Raman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Dr. Sudhakar Kinthala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5583 Fax: 570-887-4464 | |
Dr. Emmanuel Chukwybyeze Uddoh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Senthil Thiyagarajan, MD. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |