Kelly Sansouci Gidusko, MD | |
111 S Front St, Harrisburg, PA 17101-2010 | |
(717) 782-5118 | |
(717) 782-5854 |
Full Name | Kelly Sansouci Gidusko |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 20 Years |
Location | 111 S Front St, Harrisburg, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851437958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD430016 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
Good Samaritan Hospital | Lebanon, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellspan Medical Group | 1951213115 | 1966 |
Upmc Pinnacle Anesthesia Services Llc | 1951662980 | 140 |
Entity Name | Riverside Anesthesia Associates, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205827359 PECOS PAC ID: 6305758038 Enrollment ID: O20031103000137 |
Entity Name | Wellspan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
Entity Name | Upmc Pinnacle Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730693979 PECOS PAC ID: 1951662980 Enrollment ID: O20180307001977 |
Mailing Address | Practice Location Address |
---|---|
Kelly Sansouci Gidusko, MD 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 782-5118 | Kelly Sansouci Gidusko, MD 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 782-5118 |
Malik Momin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 825 Sir Thomas Ct, Suite B, Harrisburg, PA 17109 Phone: 717-652-8670 Fax: 717-901-5009 | |
Matthew Scott Bell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5118 | |
Jonathan Shirey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Rutherford Rd Ste 101, Harrisburg, PA 17109 Phone: 717-545-5256 Fax: 717-545-5259 | |
Dr. Matthew Justin Krebs, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2501 N 3rd St, Third Floor, Harrisburg, PA 17110 Phone: 717-782-6829 Fax: 717-782-6831 | |
Edwin C Gillman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-872-5118 | |
Ted Kosenske, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2501 N 3rd St, Landis Building, Harrisburg, PA 17110 Phone: 717-782-6831 Fax: 717-782-6831 | |
Roger G Bucs, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Rutherford Rd Ste 101, Ste 105, Harrisburg, PA 17109 Phone: 717-545-5256 Fax: 717-545-5259 |