Dr George J Bauer, DDS | |
670 Goucher St, Johnstown, PA 15905-3246 | |
(814) 255-4134 | |
(814) 255-4135 |
Full Name | Dr George J Bauer |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 670 Goucher St, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326092966 | NPI | - | NPPES |
0005398530002 | Other | PA | STATE MEDICAL ASSISTANCE |
BA098629 | Other | PA | PA BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS021264L (Pennsylvania) | Primary |
Entity Name | Broad Top Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063514453 PECOS PAC ID: 2860430972 Enrollment ID: O20050420000158 |
Mailing Address | Practice Location Address |
---|---|
Dr George J Bauer, DDS 688 Eisenhower Blvd, Johnstown, PA 15904-4303 Ph: (814) 266-6820 | Dr George J Bauer, DDS 670 Goucher St, Johnstown, PA 15905-3246 Ph: (814) 255-4134 |
Dr. Gerald Lewis Fisher, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2690 William Penn Ave, Suite 3, Johnstown, PA 15909 Phone: 814-322-3239 Fax: 814-322-3459 | |
Brian S Huber, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 274 Southmont Blvd, Johnstown, PA 15905 Phone: 814-536-8640 | |
Dr. James Edward Ference, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 213 Luther Rd, Johnstown, PA 15904 Phone: 814-266-9656 Fax: 814-266-3292 | |
Dr. Brady Nicholas Wright, DO Dentist Medicare: Not Enrolled in Medicare Practice Location: 1390 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-535-5244 | |
Dr. Jeffrey Paul Hooper, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 100 Hostetler Rd, Johnstown, PA 15904 Phone: 814-266-9773 Fax: 814-266-9169 | |
Dr. Timothy Louis Ondrejik, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 205 Luther Rd, Johnstown, PA 15904 Phone: 814-266-4252 Fax: 814-266-2882 | |
John David Ridella, DMD Dentist Medicare: Medicare Enrolled Practice Location: 901 Menoher Blvd, Johnstown, PA 15905 Phone: 814-536-5646 Fax: 814-536-1774 |