| Edward Gusick, | |
|
191 Roosevelt Ave Ste 12000, Selinsgrove, PA 17870-7998 | |
| (570) 524-4446 | |
| (570) 768-4623 |
| Full Name | Edward Gusick |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 18 Years |
| Location | 191 Roosevelt Ave Ste 12000, Selinsgrove, 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 |
|---|---|---|---|
| 1992974679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PS0010X | Emergency Medicine - Sports Medicine | OS016038 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evangelical Community Hospital | Lewisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evangelical Medical Services Organization | 9133033087 | 260 |
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 2687 |
| Wellspan Medical Group | 1951213115 | 2348 |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861431116 PECOS PAC ID: 2264336460 Enrollment ID: O20060503000814 |
| Entity Name | Haven Health And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871328211 PECOS PAC ID: 6608317029 Enrollment ID: O20240925000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Gusick, 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Edward Gusick, 191 Roosevelt Ave Ste 12000, Selinsgrove, PA 17870-7998 Ph: (570) 524-4446 |
Dr. Daniel J. Kerbacher, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Route 522, Selinsgrove, PA 17870 Phone: 570-372-5690 | |
Jeffrey S Kalyan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 157 Roosevelt Ave, Selinsgrove, PA 17870 Phone: 570-884-3726 Fax: 570-884-3728 |