Dr Vance A Good, MD | |
68 Fenner Avenue, Troy, PA 16947-1501 | |
(570) 297-4104 | |
(570) 297-2066 |
Full Name | Dr Vance A Good |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 68 Fenner Avenue, Troy, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710946686 | NPI | - | NPPES |
110209499 | Other | PA | RR MEDICARE PIN |
CC9269 | Other | PA | RR MEDICARE GROUP |
0006852610002 | Medicaid | PA | |
00364961 | Medicaid | NY | |
GU040074 | Other | PA | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD018594E (Pennsylvania) | Primary |
207R00000X | Internal Medicine | 151601-1 (New York) | Secondary |
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 |
Entity Name | Martha Lloyd School Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841439593 PECOS PAC ID: 2062302011 Enrollment ID: O20040316000341 |
Mailing Address | Practice Location Address |
---|---|
Dr Vance A Good, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Vance A Good, MD 68 Fenner Avenue, Troy, PA 16947-1501 Ph: (570) 297-4104 |
Cynthia Ann Meyer, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 45 Mud Creek Rd, Troy, PA 16947 Phone: 570-297-3746 | |
Dr. Navin Kumar Subrayappa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 285 Guthrie Dr, Troy, PA 16947 Phone: 570-297-4104 Fax: 570-297-2066 | |
Dr. Stephen James Renzi, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 S Railroad St, Station Square, Troy, PA 16947 Phone: 570-297-4555 Fax: 570-297-4777 |