| Dr Ethan Gable, MD | |
|
1001 E 2nd St Ste N, Coudersport, PA 16915-8161 | |
| (814) 274-7101 | |
| Not Available |
| Full Name | Dr Ethan Gable |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 13 Years |
| Location | 1001 E 2nd St Ste N, Coudersport, 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 |
|---|---|---|---|
| 1891138863 | NPI | - | NPPES |
| MD472069 | Other | PA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD472069 (Pennsylvania) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 288016 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Cole | Coudersport, PA | Hospital |
| Upmc Wellsboro | Wellsboro, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charles Cole Memorial Hospital | 3779487475 | 42 |
| Entity Name | Charles Cole Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326161662 PECOS PAC ID: 3779487475 Enrollment ID: O20040310001269 |
| Entity Name | Upmc Wellsboro |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275090433 PECOS PAC ID: 5294710414 Enrollment ID: O20190709001759 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Gable, MD 1001 E 2nd St Ste N, Coudersport, PA 16915-8161 Ph: (814) 274-7101 | Dr Ethan Gable, MD 1001 E 2nd St Ste N, Coudersport, PA 16915-8161 Ph: (814) 274-7101 |
Dr. Celso Luiz Backes, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-7101 Fax: 814-274-3251 | |
Dr. Mazen Rafic Fouany, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-7101 Fax: 814-274-3251 | |
Dr. James M. Clark, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St Ste N, Coudersport, PA 16915 Phone: 814-274-7101 |