Dr Russell Crockett Woglom, MD | |
130 Center Way, Corning, NY 14830-2255 | |
(607) 936-9971 | |
(607) 936-2600 |
Full Name | Dr Russell Crockett Woglom |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 40 Years |
Location | 130 Center Way, Corning, New York |
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 |
---|---|---|---|
1417923434 | NPI | - | NPPES |
110224586 | Other | NY | RR MEDICARE PIN |
CC8362 | Other | NY | RR MEDICARE GROUP |
01030271 | Medicaid | NY | |
0010940660003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 170146-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vna Of Western Ny Chha | Williamsville, NY | Home health agency |
Kindred At Home (corning) | Corning, NY | Home health agency |
Carefirst / Southern Tier Hospice And Palliative | Painted post, NY | Hospice |
Corning Hospital | Corning, NY | Hospital |
Arnot Ogden Medical Center | Elmira, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Guthrie Medical Group Pc | 6002728656 | 637 |
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 Russell Crockett Woglom, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Russell Crockett Woglom, MD 130 Center Way, Corning, NY 14830-2255 Ph: (607) 936-9971 |
Dr. William Alan Sorber, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600 | |
Lillian A Umbarger, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Guthrie Dr, Corning, NY 14830 Phone: 607-937-7200 | |
Dr. Richard Joseph Fastiggi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600 | |
Venugopal Thirumurti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Guthrie Dr, Corning, NY 14830 Phone: 607-739-8000 Fax: 570-887-6800 | |
Abdelhaleem Eltayeb Abdelhaleem Sideeg, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Dr, Corning, NY 14830 Phone: 917-960-2955 | |
Allison Schmidt, Internal Medicine Medicare: Medicare Enrolled Practice Location: 3 Guthrie Dr, Corning, NY 14830 Phone: 607-973-8000 | |
Dr. Hari Har Sharma, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600 |