Grady D. Gafford Md Pc | |
15 Meade St, Suite 1, Wellsboro, PA 16901-1813 | |
(570) 724-2131 | |
(570) 724-5471 |
Full Name | Grady D. Gafford Md Pc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 15 Meade St, Wellsboro, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184635286 | NPI | - | NPPES |
001045419 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG000806 (Pennsylvania) | Secondary |
207W00000X | Ophthalmology | MD025213E (Pennsylvania) | Primary |
Provider Name | Jodi Duda |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144237116 PECOS PAC ID: 1153211586 Enrollment ID: I20040318000611 |
Provider Name | David W Fox |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821028754 PECOS PAC ID: 3870572761 Enrollment ID: I20040715000024 |
Provider Name | Daniel Joseph Fassero |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750489894 PECOS PAC ID: 1254372048 Enrollment ID: I20050523000289 |
Provider Name | Scott P Rutkoski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750392775 PECOS PAC ID: 2769403385 Enrollment ID: I20051212000245 |
Provider Name | Raymond J Seeley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336134378 PECOS PAC ID: 2961532999 Enrollment ID: I20100617000335 |
Provider Name | Avery Boardman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073603718 PECOS PAC ID: 5092828905 Enrollment ID: I20110602000181 |
Provider Name | Grady D Gafford |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649281627 PECOS PAC ID: 0446271779 Enrollment ID: I20111117000278 |
Mailing Address | Practice Location Address |
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Grady D. Gafford Md Pc 15 Meade St, Suite 1, Wellsboro, PA 16901-1813 Ph: (570) 724-2131 | Grady D. Gafford Md Pc 15 Meade St, Suite 1, Wellsboro, PA 16901-1813 Ph: (570) 724-2131 |