Glenn Joseph Kashurba, MD | |
113 S Center Ave, Somerset, PA 15501-2057 | |
(814) 445-9695 | |
(814) 444-8812 |
Full Name | Glenn Joseph Kashurba |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 113 S Center Ave, Somerset, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609937663 | NPI | - | NPPES |
435297 | Other | PA | HIGHMARK |
1397413 | Other | UMWA | |
001132194 | Medicaid | PA |
Entity Name | Alternative Community Resource Program, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942398839 PECOS PAC ID: 0244277234 Enrollment ID: O20050412000197 |
Mailing Address | Practice Location Address |
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Glenn Joseph Kashurba, MD 113 S Center Ave, Ste 1, Somerset, PA 15501-2063 Ph: (814) 445-9695 | Glenn Joseph Kashurba, MD 113 S Center Ave, Somerset, PA 15501-2057 Ph: (814) 445-9695 |
Maria Del Carmen Lopez Santiago, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 225 S Center Ave, Somerset, PA 15501 Phone: 814-443-5170 | |
Dr. Anjaneyulu Karumudi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 245 W Race St, Somerset, PA 15501 Phone: 814-443-4891 Fax: 814-443-4898 | |
Dr. James M Koban, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 245 West Race Street, Somerset, PA 15501 Phone: 814-443-4891 Fax: 814-443-4898 | |
Dr. Adedute A Gbadehan, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 211 Georgian Pl, Somerset, PA 15501 Phone: 814-485-2470 | |
Dr. Anthony Giampolo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 445 West Ridge Road, Somerset, PA 15501 Phone: 814-443-6387 Fax: 814-443-2535 |