Usha V Kanakamedala, MD | |
132 Abigail Lane, Port Matilda, PA 16870-5700 | |
(814) 272-7100 | |
Not Available |
Full Name | Usha V Kanakamedala |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 132 Abigail Lane, Port Matilda, 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 |
---|---|---|---|
1801840236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD061561L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger-bloomsburg Hospital | Bloomsburg, PA | Hospital |
Geisinger-lewistown Hospital | Lewistown, PA | Hospital |
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Geisinger Medical Center | Danville, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger-hm Joint Venture Llc | 1355676370 | 317 |
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 |
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 |
---|---|
Usha V Kanakamedala, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Usha V Kanakamedala, MD 132 Abigail Lane, Port Matilda, PA 16870-5700 Ph: (814) 272-7100 |
Justin Bigger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 | |
Allen Wolfe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 |