Dr Luis Carlos Gonzalez, MD | |
181 Interstate Pkwy, Bradford, PA 16701-1041 | |
(814) 362-4345 | |
(814) 362-1178 |
Full Name | Dr Luis Carlos Gonzalez |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 41 Years |
Location | 181 Interstate Pkwy, Bradford, 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 |
---|---|---|---|
1871519637 | NPI | - | NPPES |
0015887450005 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD054904L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Olean General Hospital | Olean, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bradford Regional Medical Services | 8921998535 | 5 |
Bradford Regional Medical Services | 8921998535 | 5 |
Entity Name | Bradford Regional Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144273814 PECOS PAC ID: 8921998535 Enrollment ID: O20040317001276 |
Mailing Address | Practice Location Address |
---|---|
Dr Luis Carlos Gonzalez, MD 181 Interstate Pkwy, Bradford, PA 16701-1041 Ph: (814) 362-4345 | Dr Luis Carlos Gonzalez, MD 181 Interstate Pkwy, Bradford, PA 16701-1041 Ph: (814) 362-4345 |
Nathaniel Lars Graham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy, Suite 31, Bradford, PA 16701 Phone: 814-368-7125 Fax: 814-368-9156 | |
Robert Tahara, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Chestnut Street Ext, Suite A, Bradford, PA 16701 Phone: 814-368-8490 Fax: 814-368-8041 | |
Robert Raymond Harrie, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 116 Interstate Pkwy, Suite 31, Bradford, PA 16701 Phone: 814-362-8729 |