Kenric Allen Maynor, MD, MPH | |
1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | |
(570) 826-7300 | |
Not Available |
Full Name | Kenric Allen Maynor |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1000 E Mountain Dr, Wilkes Barre, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831148931 | NPI | - | NPPES |
408307500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | D62818 (Maryland) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Geisinger-hm Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
Mailing Address | Practice Location Address |
---|---|
Kenric Allen Maynor, MD, MPH 129 Huckleberry Dr, Duryea, PA 18642-1153 Ph: (570) 826-7300 | Kenric Allen Maynor, MD, MPH 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 Ph: (570) 826-7300 |
Passang Dolma, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7399 Fax: 570-808-5647 | |
Mousa Thalji, MBB CH Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7399 | |
Dr. Oleg Dvulit, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7399 Fax: 570-808-5942 | |
Dr. Virginie Auguste, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 575 North River Street, Wilkes Barre, PA 18764 Phone: 570-552-4450 Fax: 570-552-4455 | |
Sara Aronica, PA-C Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7300 | |
Dr. Rudy A. Carbaugh, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7333 Fax: 570-808-7325 | |
Colby Rowe Wesner, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7399 Fax: 570-808-5942 |