Peter Thomas Eisenhauer Jr, MD | |
110 Plaza Ln, Wellsboro, PA 16901-1773 | |
(570) 724-4241 | |
Not Available |
Full Name | Peter Thomas Eisenhauer Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 110 Plaza Ln, Wellsboro, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801419551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 321716 (New York) | Secondary |
207R00000X | Internal Medicine | MD480212 (Pennsylvania) | Primary |
Entity Name | Guthrie Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
Mailing Address | Practice Location Address |
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Peter Thomas Eisenhauer Jr, MD 110 Plaza Ln, Wellsboro, PA 16901-1773 Ph: () - | Peter Thomas Eisenhauer Jr, MD 110 Plaza Ln, Wellsboro, PA 16901-1773 Ph: (570) 724-4241 |
Dr. Christopher Anthony Domarew, M.D.,PHARMD, RPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 West Ave, Wellsboro, PA 16901 Phone: 570-723-0104 Fax: 570-723-0118 | |
Dr. Walter John Laibinis Jr., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 West Ave, Wellsboro, PA 16901 Phone: 570-724-3744 Fax: 570-724-2459 | |
Joseph Kaplan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Meade St Ste L3, Wellsboro, PA 16901 Phone: 570-723-2855 | |
John M Terry, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 58 West Ave, Wellsboro, PA 16901 Phone: 570-724-7477 Fax: 570-724-3046 | |
Dr. Anthony M Nespola, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Meade St, Wellsboro, PA 16901 Phone: 570-724-3744 Fax: 570-724-2459 | |
Jill Burns, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 West Ave, Suite 203, Wellsboro, PA 16901 Phone: 570-724-3744 |