Dr Jerry Wayne Terwilliger, MD | |
1 Guthrie Sq, Sayre, PA 18840-1625 | |
(570) 887-3070 | |
Not Available |
Full Name | Dr Jerry Wayne Terwilliger |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1 Guthrie Sq, 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 |
---|---|---|---|
1598730376 | NPI | - | NPPES |
370017190 | Other | PA | RR MEDICARE PIN |
0009221410001 | Medicaid | PA | |
00702667 | Medicaid | NY | |
1598730376 | Medicaid | PA | |
CC9269 | Other | PA | RR MEDICARE GROUP |
GU039851 | Other | PA | PA MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 144861-1 (New York) | Secondary |
208000000X | Pediatrics | MD028322E (Pennsylvania) | Primary |
Entity Name | Guthrie Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerry Wayne Terwilliger, MD 1 Guthrie Sq, Jterwilliger7934@direct-guthrie.org, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Jerry Wayne Terwilliger, MD 1 Guthrie Sq, Sayre, PA 18840-1625 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. Beth A. Shortridge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 Fax: 570-887-3382 | |
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 |