| David L Deregis, MD | |
|
1 Guthrie Sq, Attention: Provider Services Vicky Detrick, Sayre, PA 18840-1625 | |
| (570) 887-6323 | |
| (570) 887-6324 |
| Full Name | David L Deregis |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 1 Guthrie Sq, Sayre, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770689895 | NPI | - | NPPES |
| 000000236623 | Other | BCBS PROVIDER NUMBER | |
| 35991 | Other | KY | LICENSE |
| 64018898 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35991 (Kentucky) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 35991 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David L Deregis, MD 1 Guthrie Sq, Attention: Provider Services Vicky Detrick, Sayre, PA 18840-1625 Ph: (570) 887-6323 | David L Deregis, MD 1 Guthrie Sq, Attention: Provider Services Vicky Detrick, Sayre, PA 18840-1625 Ph: (570) 887-6323 |
Aiysha R Ansari, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2493 Fax: 570-887-3254 | |
Dr. Ian Phillip Snider, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 317 W Lockhart St, Sayre, PA 18840 Phone: 570-887-3920 Fax: 570-887-3035 | |
Dr. Theodore Frederick Them, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Adam Joseph Pascoe, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2493 Fax: 570-887-3254 |