| Dr Han Suk Koh, MD | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 888-5858 | |
| Not Available |
| Full Name | Dr Han Suk Koh |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 33 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 |
|---|---|---|---|
| 1720057326 | NPI | - | NPPES |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| 02195884 | Medicaid | NY | |
| GU039821 | Other | PA | MEDICARE GROUP |
| 130024722 | Other | PA | RR MEDICARE PIN |
| 0018673940001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD063640L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Packer Hospital | Sayre, PA | Hospital |
| Corning Hospital | Corning, NY | Hospital |
| Lourdes Hospital | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guthrie Medical Group Pc | 6002728656 | 725 |
| Guthrie Medical Group Pc | 6002728656 | 725 |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Han Suk Koh, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Han Suk Koh, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Carlos Ynigo Dy Lopez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2838 Fax: 570-887-3192 | |
Anthony L Nicotera, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-6666 Fax: 570-882-4379 | |
Dr. Paul Edward Buckthal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Joita Nedelcu, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-6666 Fax: 570-882-4379 |