Gregor Stanley Thebaud, DO | |
835 Washington St, Huntingdon, PA 16652-1725 | |
(814) 506-8114 | |
(814) 506-8553 |
Full Name | Gregor Stanley Thebaud |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 835 Washington St, Huntingdon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326353996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | OS016519 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | OS016519 (Pennsylvania) | Primary |
Entity Name | Broad Top Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063514453 PECOS PAC ID: 2860430972 Enrollment ID: O20050420000158 |
Mailing Address | Practice Location Address |
---|---|
Gregor Stanley Thebaud, DO 4133 Medical Center Dr, Broad Top, PA 16621-9001 Ph: (814) 635-2916 | Gregor Stanley Thebaud, DO 835 Washington St, Huntingdon, PA 16652-1725 Ph: (814) 506-8114 |
Dr. Jennifer Holt, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Warm Springs Avenue, Jc Blair Memorial Hospital, Huntingdon, PA 16652 Phone: 814-643-8850 Fax: 814-643-8334 | |
Daniel Delp, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 814 Washington St, Huntingdon, PA 16652 Phone: 814-643-4415 | |
Michael A Lettieri, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6674 Towne Center Blvd, Huntingdon, PA 16652 Phone: 814-643-1232 Fax: 814-643-4267 | |
Dr. Niketu Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1225 Warm Springs Ave, Huntingdon, PA 16652 Phone: 814-643-8408 | |
Dr. Anthony Zinobile, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6678 Towne Center Blvd, Huntingdon, PA 16652 Phone: 814-643-1232 Fax: 814-643-1232 | |
Dr. Dominick A Kistler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Warm Springs Ave, Huntingdon, PA 16652 Phone: 814-643-2290 |