| Dr Beth A Shortridge, MD | |
|
1011 N Elmer Ave, Sayre, PA 18840-1832 | |
| (570) 887-3070 | |
| (570) 887-3382 |
| Full Name | Dr Beth A Shortridge |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1011 N Elmer Ave, Sayre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194907550 | NPI | - | NPPES |
| 3607704 | Medicaid | NJ | |
| 001243228 | Medicaid | PA | |
| 4138252 | Medicaid | MD |
| Entity Name | The Nemours Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366594699 PECOS PAC ID: 9537072483 Enrollment ID: O20040422000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Beth A Shortridge, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Beth A Shortridge, MD 1011 N Elmer Ave, Sayre, PA 18840-1832 Ph: (570) 887-3070 |
Dr. Philip A Heavner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Jennifer Marie Coseo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 Fax: 570-887-3382 | |
Meghan Sutryk, Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 | |
Dr. John Paul Pacanowski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Kenneth Sobel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 607-767-0340 | |
Dr. Naveen Minumula, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 Fax: 570-887-3382 |