Elyse Jensen, | |
16 Woodbine Ln, Danville, PA 17821-8029 | |
(570) 271-6700 | |
(570) 214-6700 |
Full Name | Elyse Jensen |
---|---|
Gender | Female |
Speciality | Pediatrics - Sports Medicine |
Location | 16 Woodbine Ln, Danville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861999435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080S0010X | Pediatrics - Sports Medicine | MD477490 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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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 |
---|---|
Elyse Jensen, Geisinger Medical Center 100 North Academy Avenue, Danville, PA 17822-0001 Ph: (570) 271-6211 | Elyse Jensen, 16 Woodbine Ln, Danville, PA 17821-8029 Ph: (570) 271-6700 |
Maura Elizabeth Gable, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-7910 | |
Dr. Emily M. Feldmann, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-5600 Fax: 570-271-5851 | |
Dr. Swathi Mannava Gowtham, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-7910 Fax: 570-271-6002 | |
Dr. Carlos R. Perez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6266 | |
Dr. Mahmoud T. Sabri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6052 | |
Dr. Bonnie A. Salbert, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6440 Fax: 570-271-6002 | |
Dr. Janis F. Maksimak, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-5600 Fax: 570-271-5851 |