| Anil Kumar Dutt, MD | |
|
406 W Oak St, Titusville, PA 16354-1404 | |
| (814) 827-4244 | |
| (814) 827-6643 |
| Full Name | Anil Kumar Dutt |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 406 W Oak St, Titusville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134165699 | NPI | - | NPPES |
| P00342302 | Other | PA | RAILROAD MEDICARE |
| 1017463730001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD428849 (Pennsylvania) | Primary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Anil Kumar Dutt, MD Po Box 302, Titusville, PA 16354-0302 Ph: (814) 827-4244 | Anil Kumar Dutt, MD 406 W Oak St, Titusville, PA 16354-1404 Ph: (814) 827-4244 |
Ralph E Nazzaro, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 150 W Central Ave, Titusville, PA 16354 Phone: 814-827-3400 Fax: 814-827-3556 | |
Dr. Dwain M. Rogers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-4244 Fax: 814-827-6643 | |
Catherine A Fonash, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 150 W Central Ave, Titusville, PA 16354 Phone: 814-827-3400 Fax: 814-827-3556 |