Gautam C Thakur, MD | |
751 Liberty St, Meadville, PA 16335-2559 | |
(814) 333-5144 | |
(814) 373-2255 |
Full Name | Gautam C Thakur |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 751 Liberty St, Meadville, Pennsylvania |
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 |
---|---|---|---|
1578502167 | NPI | - | NPPES |
0016368510004 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD061648L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Meadville Medical Center | Meadville, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meadville Diagnostic Medical Imaging Inc | 6406804566 | 3 |
Entity Name | Meadville Diagnostic Medical Imaging Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649281379 PECOS PAC ID: 6406804566 Enrollment ID: O20050106000005 |
Mailing Address | Practice Location Address |
---|---|
Gautam C Thakur, MD Po Box 1420, Clearfield, PA 16830-5420 Ph: (877) 235-7686 | Gautam C Thakur, MD 751 Liberty St, Meadville, PA 16335-2559 Ph: (814) 333-5144 |
Frederic Thomas Mcdermott, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-5145 Fax: 814-333-5197 | |
Dr. Brian J. Karlovits, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18201 Conneaut Lake Rd, Meadville, PA 16335 Phone: 814-373-2335 Fax: 814-373-2338 | |
Dr. Michael O'malley, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-5144 Fax: 814-373-2255 | |
Eric W Svenson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 16792 Conneaut Lake Rd, Meadville, PA 16335 Phone: 814-373-2335 Fax: 814-373-2338 |