Gary A Fisher, DO | |
1 Norwegian Plz, Pottsville, PA 17901-4400 | |
(570) 622-8500 | |
(570) 622-0261 |
Full Name | Gary A Fisher |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 1 Norwegian Plz, Pottsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801881875 | NPI | - | NPPES |
000621890 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | OS003192L (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 |
---|---|
Gary A Fisher, DO 1201 Grampian Blvd, Ste 3a, Williamsport, PA 17701-1900 Ph: (570) 322-4025 | Gary A Fisher, DO 1 Norwegian Plz, Pottsville, PA 17901-4400 Ph: (570) 622-8500 |
Gregory J Elberfeld, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 420 S Jackson St, Pottsville, PA 17901 Phone: 570-621-5325 Fax: 570-621-5018 | |
Dr. Matthew Anthony Sacco, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 420 S Jackson St, Pottsville, PA 17901 Phone: 570-621-5325 Fax: 570-621-5325 | |
Jose L Gonzalez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 420 South Jackson Street, Pottsville, PA 17901 Phone: 570-621-5325 Fax: 570-621-5325 | |
Gregory Christopher Treharne, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 One Norwegian Plaza, Pottsville, PA 17901 Phone: 570-622-8500 Fax: 570-622-0261 |