| Denville Anthony Myrie, MD | |
|
1800 Mulberry St, Scranton, PA 18510-2369 | |
| (570) 703-8123 | |
| Not Available |
| Full Name | Denville Anthony Myrie |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 1800 Mulberry St, Scranton, 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 |
|---|---|---|---|
| 1588610539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD-34603 (Iowa) | Secondary |
| 208600000X | Surgery | 43644 (Iowa) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | MD469998 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Clinic, Llp | 0547166076 | 655 |
| Carle Health Care Incorporated | 3577515774 | 912 |
| Entity Name | Springfield Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Denville Anthony Myrie, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Denville Anthony Myrie, MD 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 703-8123 |
Dr. Matthew Craig Cindric, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 743 Jefferson Ave Ste 104, Scranton, PA 18510 Phone: 570-207-0433 Fax: 570-770-4406 | |
Fitzgerald Junior Casimir, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-7245 | |
Dr. Khaleel A Shaikh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-346-7797 Fax: 570-342-9802 | |
Natalie Monroe, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-4824 Fax: 570-703-7325 | |
John Andre Pepen, Surgery Medicare: Accepting Medicare Assignments Practice Location: 743 Jefferson Ave Ste 104, Scranton, PA 18510 Phone: 570-207-0433 | |
Dr. James J. Roche, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Penn Ave, Scranton, PA 18503 Phone: 570-342-1643 Fax: 570-342-7119 | |
Dr. John Anthony Kutz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-7355 Fax: 570-703-7354 |