| Dr Egede J Aitsebaomo, MD | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 887-2289 | |
| (570) 887-2290 |
| Full Name | Dr Egede J Aitsebaomo |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 28 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 |
|---|---|---|---|
| 1376620682 | NPI | - | NPPES |
| 8913023 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 285781 (New York) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD459847 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Packer Hospital | Sayre, PA | Hospital |
| Corning Hospital | Corning, NY | Hospital |
| Guthrie Cortland Regional Medical Center | Cortland, NY | Hospital |
| Troy Community Hospital | Troy, PA | Hospital |
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guthrie Medical Group Pc | 6002728656 | 725 |
| Guthrie Medical Group Pc | 6002728656 | 725 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Egede J Aitsebaomo, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Egede J Aitsebaomo, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 887-2289 |
Sahzene Yavuz, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 105 Desmond St, Sayre, PA 18840 Phone: 201-421-9520 | |
Dr. Premjeet Singh Dhillon, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-6666 | |
Dr. Michael Jon Depersis, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Square, Guthrie Medical Group, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Joseph B. Blood, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-887-2694 | |
Vishwa Kundoor, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-867-0962 | |
Dr. Jason Paul Kartis, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq Ste B, Sayre, PA 18840 Phone: 570-888-6666 | |
Dr. Victor Olaolu Kolade, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |