| Benjamin L Park, DO | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 887-5583 | |
| Not Available |
| Full Name | Benjamin L Park |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 14 Years |
| Location | 1 Guthrie Sq, Sayre, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205121639 | NPI | - | NPPES |
| 1030313710001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OS017425 (Pennsylvania) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana Regional Medical Center | Indiana, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Punxsutawney Medical Services Inc | 2961396346 | 34 |
| Entity Name | Punxsutawney Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255849683 PECOS PAC ID: 2961396346 Enrollment ID: O20040209000720 |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447357843 PECOS PAC ID: 5890689715 Enrollment ID: O20040326001197 |
| Entity Name | Clarion Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049368 PECOS PAC ID: 7618923293 Enrollment ID: O20050412000338 |
| Entity Name | Indiana Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1265425359 PECOS PAC ID: 6800791187 Enrollment ID: O20050426000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin L Park, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Benjamin L Park, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 887-5583 |
Dr. Badri Wahab Zahreddine, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5583 Fax: 570-887-4464 | |
Dr. Burdett Roy Porter, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-6133 Fax: 570-887-4464 | |
Dr. Gita S. Raman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Dr. Sudhakar Kinthala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5583 Fax: 570-887-4464 | |
Dr. Emmanuel Chukwybyeze Uddoh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Senthil Thiyagarajan, MD. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |