| Dr Gary Douglas Kanouse, MD | |
|
695 E 16th St, Suite D, Berwick, PA 18603-2320 | |
| (570) 752-5500 | |
| (570) 752-6790 |
| Full Name | Dr Gary Douglas Kanouse |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 41 Years |
| Location | 695 E 16th St, Berwick, Pennsylvania |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568521425 | NPI | - | NPPES |
| 0011256360001 | Medicaid | PA | |
| 161376 | Other | PA | HIGHMARK BLUE SHIELD |
| 50002681 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD036479E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Commonwealth Home Health & Hospice Of Berwick | Berwick, PA | Home health agency |
| Commonwealth Hospice Of Berwick | Berwick, PA | Hospice |
| Geisinger-bloomsburg Hospital | Bloomsburg, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Lehigh Valley Hospital - Hazleton | Hazleton, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| St Thomas Post Acute And Rehabilitation Center | Berwick, PA | Nursing home |
| Entity Name | Kanouse Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790859783 PECOS PAC ID: 4789659210 Enrollment ID: O20040830000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Douglas Kanouse, MD 695 E 16th St, Suite D, Berwick, PA 18603-2320 Ph: (570) 752-5500 | Dr Gary Douglas Kanouse, MD 695 E 16th St, Suite D, Berwick, PA 18603-2320 Ph: (570) 752-5500 |
Dr. Pavel Pribula, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 E 16th St, Suite 300, Berwick, PA 18603 Phone: 570-752-5056 Fax: 570-752-0841 | |
Dr. Alva D Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 E 16th St, Suite 200, Berwick, PA 18603 Phone: 570-759-5491 Fax: 570-759-3723 | |
Dr. Frank Gegwich, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 751 E 16th St, Suite 400, Berwick, PA 18603 Phone: 570-752-5056 Fax: 570-752-0841 | |
Osman Elnour Bahar Osman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Fowler Ave Ste 203, Berwick, PA 18603 Phone: 570-752-4516 Fax: 570-752-4518 | |
Dan Stefan Butoi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Fowler Ave, Ste 202, Berwick, PA 18603 Phone: 570-752-2349 Fax: 570-752-6959 | |
Grace Guerrier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 W Front St, Berwick, PA 18603 Phone: 570-759-1228 |