Dr John M Antos, MD | |
1 Guthrie Sq, Sayre, PA 18840-1625 | |
(570) 888-5858 | |
(570) 887-5775 |
Full Name | Dr John M Antos |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
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 |
---|---|---|---|
1417929480 | NPI | - | NPPES |
0009161350001 | Medicaid | PA | |
300125078 | Other | PA | RR MEDICARE PIN |
CC9269 | Other | PA | RR MEDICARE GROUP |
00785204 | Medicaid | NY | |
CC8362 | Other | NY | RR MEDICARE GROUP |
GU039853 | Other | PA | MEDICARE GROUP |
P00207601 | Other | NY | RR MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 139819-1 (New York) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD024966E (Pennsylvania) | Primary |
Entity Name | Guthrie Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
Mailing Address | Practice Location Address |
---|---|
Dr John M Antos, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr John M Antos, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Donna L Tamkin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Zachary Elia Friess, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-4000 Fax: 570-887-5775 | |
Dr. Richard A. Kostick, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-6102 | |
Dr. Joseph G Lahoda, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-4000 Fax: 570-887-5775 | |
Dr. Satre Stuelke, MD, MFA Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-4000 Fax: 570-887-5775 | |
Sumblina A Chaudhary, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Geneva R. Ballard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-4000 Fax: 570-887-5775 |