Kathryn K Eisenhuth, MD | |
132 Abigail Ln, Port Matilda, PA 16870 | |
(814) 272-7100 | |
(814) 272-6501 |
Full Name | Kathryn K Eisenhuth |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 132 Abigail Ln, Port Matilda, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063634863 | NPI | - | NPPES |
C09463 | Other | VA | GROUP PTAN |
07585750 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101245316 (Virginia) | Secondary |
208000000X | Pediatrics | 21219 (Mississippi) | Secondary |
208000000X | Pediatrics | MD462276 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Kathryn K Eisenhuth, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Kathryn K Eisenhuth, MD 132 Abigail Ln, Port Matilda, PA 16870 Ph: (814) 272-7100 |
Joy C Drass, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 | |
Dr. Kelly Ann Cessna, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 | |
Dr. Shaheen M. Gill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 | |
Crystal Michele Duffy, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 132 Abigail Lane, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 570-272-6501 | |
Sufana Zafar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 132 Abigail Lane, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 | |
Dr. David A Coggins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 |