Randall George Brundage, DO | |
320 Keystone Ave, Peckville, PA 18452-2242 | |
(570) 489-0871 | |
(570) 489-8021 |
Full Name | Randall George Brundage |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 320 Keystone Ave, Peckville, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053381590 | NPI | - | NPPES |
001162200 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 05005830L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger-community Medical Center | Scranton, PA | Hospital |
Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
Wayne Memorial Hospital | Honesdale, PA | Hospital |
Regional Hospital Of Scranton | Scranton, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steffie Enterprises, Inc | 0840225736 | 289 |
Geisinger Clinic | 5395657001 | 2841 |
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 |
---|---|
Randall George Brundage, DO 320 Keystone Ave, Peckville, PA 18411-2242 Ph: (570) 489-0871 | Randall George Brundage, DO 320 Keystone Ave, Peckville, PA 18452-2242 Ph: (570) 489-0871 |
Dr. Rajan Mulloth, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St, Peckville, PA 18452 Phone: 570-383-0236 Fax: 570-383-3681 | |
Anthony William Freda, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Keystone Ave, Peckville, PA 18452 Phone: 570-489-0871 Fax: 570-489-8021 | |
Meena Desai, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 Depot Street, Peckville, PA 18452 Phone: 570-383-7233 Fax: 570-489-2802 | |
Kevin G Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Keystone Ave, Peckville, PA 18452 Phone: 570-489-0871 Fax: 570-489-8021 | |
Dr. Frank M Moro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St, Peckville, PA 18452 Phone: 570-383-0236 |