Christie Buonpane, | |
100 N Academy Ave, Danville, PA 17822-9800 | |
(570) 271-6211 | |
Not Available |
Full Name | Christie Buonpane |
---|---|
Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 100 N Academy Ave, Danville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003234568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MT205926 (Pennsylvania) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 38258 (Oklahoma) | Primary |
Entity Name | Norton Childrens Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
---|---|
Christie Buonpane, 1200 Everett Dr # 2320, Oklahoma City, OK 73104-5047 Ph: (908) 507-7249 | Christie Buonpane, 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-6211 |
Dr. Tara Jean Loux, MD Surgery Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-7967 | |
Gabriel Mekel Nakhal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6361 | |
Alexandra Maningat, Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave # Mc27-70, Danville, PA 17822 Phone: 570-214-2403 | |
Anthony John Georges, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-7967 | |
Jon D Gabrielsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6361 Fax: 570-271-6578 | |
Mr. Luiz Goncalves Foernges, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 |