| Dr Eugene H Usow, DO | |
|
10 Muddy Creek Forks Rd, Suite 3, Brogue, PA 17309-9497 | |
| (717) 812-5020 | |
| (717) 461-7144 |
| Full Name | Dr Eugene H Usow |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10 Muddy Creek Forks Rd, Brogue, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457394793 | NPI | - | NPPES |
| 103018870 | Medicaid | PA | |
| 2742519 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9612 (Florida) | Secondary |
| 207Q00000X | Family Medicine | OS012562 (Pennsylvania) | Primary |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eugene H Usow, DO 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 812-5020 | Dr Eugene H Usow, DO 10 Muddy Creek Forks Rd, Suite 3, Brogue, PA 17309-9497 Ph: (717) 812-5020 |
Kodie William Stem, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Muddy Creek Forks Rd Ste 3, Brogue, PA 17309 Phone: 717-812-5020 Fax: 717-461-7144 | |
Dr. Carl William Brango, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Muddy Creek Forks Rd, Suite 3, Brogue, PA 17309 Phone: 717-812-5020 Fax: 717-461-7144 | |
Dr. Douglas Brenneman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Delta Rd, Brogue, PA 17309 Phone: 717-927-8434 Fax: 717-927-6274 |