Dr Charles Thomas Grad Sr, MD | |
201 Smallacombe Dr, Scranton, PA 18508-2616 | |
(570) 961-0171 | |
(570) 207-2411 |
Full Name | Dr Charles Thomas Grad Sr |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 52 Years |
Location | 201 Smallacombe Dr, Scranton, 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 |
---|---|---|---|
1093723322 | NPI | - | NPPES |
MD014268E | Other | PA | MD LICENSE |
0006769880001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MD014268E (Pennsylvania) | Primary |
207R00000X | Internal Medicine | MD014268E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger-community Medical Center | Scranton, PA | Hospital |
Regional Hospital Of Scranton | Scranton, PA | Hospital |
Wayne Memorial Hospital | Honesdale, PA | Hospital |
Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lackawanna Medical Group Pc | 6800870882 | 4 |
Entity Name | Lackawanna Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770650962 PECOS PAC ID: 6800870882 Enrollment ID: O20040616001211 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Thomas Grad Sr, MD 5 Stonybrook Rd, Clarks Summit, PA 18411-1166 Ph: (570) 586-9578 | Dr Charles Thomas Grad Sr, MD 201 Smallacombe Dr, Scranton, PA 18508-2616 Ph: (570) 961-0171 |
Dr. Ivan Cvorovic, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Washington Ave Ste 1000, Scranton, PA 18505 Phone: 570-343-2383 | |
Ritu Khurana, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-7351 Fax: 570-703-7801 | |
Dr. Titilayo O Osuntokun, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 959 Wyoming Ave, Scranton, PA 18509 Phone: 570-344-3517 Fax: 570-344-6839 | |
Nalini G Kakimallaiah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Quincy Ave, Hospitalist Office, Scranton, PA 18510 Phone: 866-519-0457 Fax: 570-770-5263 | |
Dr. Joseph Frank Leo, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 531 Mt Pleasant Dr, Scranton, PA 18503 Phone: 570-342-8500 Fax: 570-558-2290 | |
Fouzia Oza, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-770-5000 | |
John P Lundin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 746 Jefferson Ave, Suite 305, Scranton, PA 18510 Phone: 570-342-1776 Fax: 570-963-0663 |