Dr Beth A Shortridge, MD | |
1011 N Elmer Ave, Sayre, PA 18840-1832 | |
(570) 887-3070 | |
(570) 887-3382 |
Full Name | Dr Beth A Shortridge |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1011 N Elmer Ave, 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 |
---|---|---|---|
1194907550 | NPI | - | NPPES |
3607704 | Medicaid | NJ | |
001243228 | Medicaid | PA | |
4138252 | Medicaid | MD |
Entity Name | The Nemours Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366594699 PECOS PAC ID: 9537072483 Enrollment ID: O20040422000840 |
Mailing Address | Practice Location Address |
---|---|
Dr Beth A Shortridge, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Beth A Shortridge, MD 1011 N Elmer Ave, Sayre, PA 18840-1832 Ph: (570) 887-3070 |
Dr. Philip A Heavner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Jennifer Marie Coseo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 Fax: 570-887-3382 | |
Meghan Sutryk, Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 | |
Dr. John Paul Pacanowski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Kenneth Sobel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 607-767-0340 | |
Dr. Naveen Minumula, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 Fax: 570-887-3382 |