| Carrie Kresge, MD | |
|
1 Medical Center Blvd, Upland, PA 19013-3902 | |
| (610) 447-2517 | |
| (610) 956-0069 |
| Full Name | Carrie Kresge |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1 Medical Center Blvd, Upland, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992790349 | NPI | - | NPPES |
| 1464120 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD045896L (Pennsylvania) | Primary |
| Entity Name | Southeast Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790779684 PECOS PAC ID: 9133025232 Enrollment ID: O20031210000107 |
| Entity Name | Southeast Medical Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497784177 PECOS PAC ID: 3274561923 Enrollment ID: O20050803000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Kresge, MD Po Box 3247, Evansville, IN 47731-3247 Ph: (800) 467-2392 | Carrie Kresge, MD 1 Medical Center Blvd, Upland, PA 19013-3902 Ph: (610) 447-2517 |
John Hiehle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 | |
Dr. Damon R Soeiro, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Crozer-chester Medical Center; Dept. Radiology, Upland, PA 19013 Phone: 610-447-2595 | |
Dr. Caroline Amy Wilson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-874-1515 Fax: 610-874-1511 | |
Adam R Fisher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 | |
Irene Woo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 | |
Krish Ramprasad, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 | |
Patricia H Saluk, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Upland, PA 19013 Phone: 610-447-2517 Fax: 610-956-0069 |