| Dr Glen Carlberg Johnson, MD | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 888-5858 | |
| Not Available |
| Full Name | Dr Glen Carlberg Johnson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 43 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 |
|---|---|---|---|
| 1548239395 | NPI | - | NPPES |
| GU039832 | Other | PA | MEDICARE GROUP |
| 050075791 | Other | PA | RR MEDICARE PIN |
| 0010990080001 | Medicaid | PA | |
| 01040784 | Medicaid | NY | |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD039684L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Packer Hospital | Sayre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 Glen Carlberg Johnson, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Glen Carlberg Johnson, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Dr. Badri Wahab Zahreddine, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5583 Fax: 570-887-4464 | |
Dr. Burdett Roy Porter, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-6133 Fax: 570-887-4464 | |
Benjamin L Park, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5583 | |
Dr. Gita S. Raman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Dr. Sudhakar Kinthala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5583 Fax: 570-887-4464 | |
Dr. Emmanuel Chukwybyeze Uddoh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Senthil Thiyagarajan, MD. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |