Dr Kenneth A Widom, MD | |
100 N Academy Ave, Danville, PA 17822-2018 | |
(570) 271-7149 | |
Not Available |
Full Name | Dr Kenneth A Widom |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 26 Years |
Location | 100 N Academy Ave, Danville, 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 |
---|---|---|---|
1497706154 | NPI | - | NPPES |
101032558 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD424958 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger Medical Center | Danville, PA | Hospital |
Evangelical Community Hospital | Lewisburg, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth A Widom, MD 100 N Academy Ave, Danville, PA 17822-3034 Ph: (570) 271-6144 | Dr Kenneth A Widom, MD 100 N Academy Ave, Danville, PA 17822-2018 Ph: (570) 271-7149 |
Dr. Tara Jean Loux, MD Surgery Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-7967 | |
Christie Buonpane, Surgery Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Gabriel Mekel Nakhal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6361 | |
Alexandra Maningat, Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave # Mc27-70, Danville, PA 17822 Phone: 570-214-2403 | |
Anthony John Georges, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-7967 | |
Jon D Gabrielsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6361 Fax: 570-271-6578 | |
Mr. Luiz Goncalves Foernges, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 |