| Northeastern Gastroenterology Associates, Pc | |
|
1860 Fair Ave Suite A Honesdale PA 18431-2108 | |
| (570) 253-3391 | |
| (570) 253-1811 |
| Full Name | Northeastern Gastroenterology Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1860 Fair Ave, Honesdale, Pennsylvania |
| Authorized Official Name and Position | David Dewitt Reynolds (PRESIDENT) |
| Authorized Official Contact | 5702533991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Gastroenterology Associates, Pc 1860 Fair Ave Suite A Honesdale PA 18431-2108 Ph: (570) 253-3391 | Northeastern Gastroenterology Associates, Pc 1860 Fair Ave Suite A Honesdale PA 18431-2108 Ph: (570) 253-3391 |
| NPI Number | 1942211248 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 05/18/2016 |
| Medicare PECOS PAC ID | 7113990912 |
|---|---|
| Medicare Enrollment ID | O20040819000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942211248 | NPI | - | NPPES |
| 0016721410006 | Medicaid | PA | |
| 804251 | Other | PA | FIRST PRIORITY |
| 0450817000 | Other | AMERIHEALTH & INDEP BS | |
| 2400697 | Other | GHI | |
| 66362 | Other | PA | BLUE SHIELD |
| 77790 | Other | PA | BLUE SHIELD 65 SPECIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Matthew J Downey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053531079 PECOS PAC ID: 2466539564 Enrollment ID: I20080414000089 |
| Provider Name | Michael A Yoder |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346206752 PECOS PAC ID: 9032271580 Enrollment ID: I20090504000422 |
| Provider Name | Margaret Louise Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235208935 PECOS PAC ID: 8022144591 Enrollment ID: I20100414000089 |
| Provider Name | David A Talenti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851366082 PECOS PAC ID: 0941393227 Enrollment ID: I20110125000802 |
| Provider Name | David D Reynolds |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003829474 PECOS PAC ID: 7719886464 Enrollment ID: I20110126000682 |
| Provider Name | Emily R Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487881538 PECOS PAC ID: 4981743382 Enrollment ID: I20141126000114 |
| Provider Name | Alan J Shienbaum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811967904 PECOS PAC ID: 1557406568 Enrollment ID: I20180906003271 |
| Provider Name | Ryan M Cristelli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356811939 PECOS PAC ID: 5092116830 Enrollment ID: I20210630001437 |
| Provider Name | Leonard T Walsh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407389554 PECOS PAC ID: 0446674063 Enrollment ID: I20211108002933 |
| Provider Name | Jeanine Chiaffarano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164810156 PECOS PAC ID: 4789952870 Enrollment ID: I20220602000986 |
Wayne Memorial Hospital Spu Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Park St, Honesdale, PA 18431 Phone: 570-253-8100 Fax: 570-253-8425 | |
Tri County Ear Nose & Throat Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 Park St, Honesdale, PA 18431 Phone: 570-253-0202 Fax: 570-253-1701 | |
Philip C Gutherz Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Maple Ave Fl 2, Honesdale, PA 18431 Phone: 570-253-7150 Fax: 570-253-7152 | |
Highland Physicians, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1839 Fair Ave, Honesdale, PA 18431 Phone: 570-251-6500 Fax: 570-253-8174 | |
Philip C. Gutherz, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Maple Avenue, 2nd Floor, Honesdale, PA 18431 Phone: 570-253-7150 | |
Highland Physicians, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1839 Fair Ave, Honesdale, PA 18431 Phone: 570-251-6500 Fax: 570-253-8174 | |
Waymart Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Park St, Honesdale, PA 18431 Phone: 570-251-6676 Fax: 570-251-6668 |