Jean-marc Gauguet, MD/PHD | |
500 University Dr, Hershey, PA 17033-2360 | |
(717) 531-4935 | |
Not Available |
Full Name | Jean-marc Gauguet |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 500 University Dr, Hershey, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609018399 | NPI | - | NPPES |
110096034A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 232149 (Massachusetts) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD481440 (Pennsylvania) | Primary |
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Entity Name | Umass Memorial Radiology Phys Serv |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639122096 PECOS PAC ID: 6800868779 Enrollment ID: O20040811000206 |
Mailing Address | Practice Location Address |
---|---|
Jean-marc Gauguet, MD/PHD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Jean-marc Gauguet, MD/PHD 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-4935 |
Christian J Park, Radiology Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-4935 Fax: 717-531-0336 | |
Brian Swehla, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521 | |
Nabeel E Sarwani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8044 Fax: 717-531-5596 | |
Dr. Jonathan Raines, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Jeffrey Shih-gie Chen, Radiology Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-4935 | |
Hussain A Al Yousif, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 University Drive, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-5596 | |
Dr. Jeffrey C Cruz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 University Drive, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-4445 |