| Dr Gouthami Boga, MD | |
|
1000 N Front St, Wormleysburg, PA 17043-1021 | |
| (717) 731-0101 | |
| (717) 731-8359 |
| Full Name | Dr Gouthami Boga |
|---|---|
| Gender | Female |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 22 Years |
| Location | 1000 N Front St, Wormleysburg, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043466881 | NPI | - | NPPES |
| 102926581 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD451864 (Pennsylvania) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD451864 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Carlisle Regional Medical Center | Carlisle, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Health Cardiovascular Institute Inc | 6901087006 | 110 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Pinnacle Health Cardiovascular Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952603342 PECOS PAC ID: 6901087006 Enrollment ID: O20110223000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gouthami Boga, MD 409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612 Ph: (717) 731-0101 | Dr Gouthami Boga, MD 1000 N Front St, Wormleysburg, PA 17043-1021 Ph: (717) 731-0101 |
Dr. Nancy Lecompte Radtke, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-731-8359 | |
Dr. Cleon R Hubbard, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-731-8359 | |
Kunal N Bodiwala, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-731-8359 | |
Shweta Aggarwal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-731-8359 | |
Dr. Timothy P Walsh, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-731-8359 | |
Dr. Thomas Christopher Morris, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-441-0592 |