Gary Lee Anderson, DO | |
101 Walnut St, Kane, PA 16735-1277 | |
(814) 975-1033 | |
(814) 975-1036 |
Full Name | Gary Lee Anderson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 101 Walnut St, Kane, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629081112 | NPI | - | NPPES |
0014607020003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS007179L (Pennsylvania) | Primary |
Entity Name | Upmc Kane |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861478307 PECOS PAC ID: 7113814625 Enrollment ID: O20060811000340 |
Mailing Address | Practice Location Address |
---|---|
Gary Lee Anderson, DO 101 Walnut St, Kane, PA 16735-1277 Ph: (814) 975-1033 | Gary Lee Anderson, DO 101 Walnut St, Kane, PA 16735-1277 Ph: (814) 975-1033 |
Dr. Karen Sees, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1266 Lindholm Road, Kane, PA 16735 Phone: 814-778-5484 | |
Dr. Nawaz Suddle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4372 Route 6, Kane, PA 16735 Phone: 814-837-4560 Fax: 814-837-7905 | |
Emmanuel F Hipolito, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 38 Thompson Park, Kane, PA 16735 Phone: 814-837-9841 Fax: 814-837-6494 | |
Dr. Kimberly Ann Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4372 Route 6, Kane, PA 16735 Phone: 814-837-4725 Fax: 814-837-4567 |