Dr Diane Frances Godorov, DO | |
6th Avenue And Spruce Street, West Reading, PA 19611 | |
(484) 628-3637 | |
(484) 628-8773 |
Full Name | Dr Diane Frances Godorov |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 6th Avenue And Spruce Street, West Reading, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942377015 | NPI | - | NPPES |
101863880 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS010633L (Pennsylvania) | Primary |
Entity Name | Childrens Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
Entity Name | Wellspan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Mailing Address | Practice Location Address |
---|---|
Dr Diane Frances Godorov, DO 50 Commerce Dr, Wyomissing, PA 19610-3335 Ph: (610) 372-8044 | Dr Diane Frances Godorov, DO 6th Avenue And Spruce Street, West Reading, PA 19611 Ph: (484) 628-3637 |
Saroj Parida, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6th Ave & Spruce St, West Reading, PA 19611 Phone: 610-988-8843 | |
Olubunmi K. Ojikutu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 206 S 6th Ave, West Reading, PA 19611 Phone: 610-988-5437 Fax: 610-988-5438 | |
Gerard Brown, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6th Ave & Spruce St, West Reading, PA 19611 Phone: 610-988-8843 | |
Nina Niamkey Duke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 S 7th Ave, Suite 3170, West Reading, PA 19611 Phone: 610-898-9380 Fax: 610-478-1170 | |
Dr. Renee E Riddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 206 S 6th Ave, West Reading, PA 19611 Phone: 484-628-5437 | |
Lorie Radecki Ulmer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 S 7th Ave, Ste 3170, West Reading, PA 19611 Phone: 610-374-4491 Fax: 610-478-1170 | |
Dr. Anna N/a Karasik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 655 Walnut St, West Reading, PA 19611 Phone: 610-972-9222 Fax: 610-372-0232 |