| Dr Kenneth A Hogrefe, MD | |
|
130 Centerway, Corning, NY 14830 | |
| (607) 936-9971 | |
| (607) 936-2600 |
| Full Name | Dr Kenneth A Hogrefe |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 130 Centerway, Corning, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669440137 | NPI | - | NPPES |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| 0011461900003 | Medicaid | PA | |
| 00779846 | Medicaid | NY | |
| 180042769 | Other | NY | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD53407L (Pennsylvania) | Secondary |
| 207W00000X | Ophthalmology | 144719-1 (New York) | Primary |
| 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 Kenneth A Hogrefe, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Kenneth A Hogrefe, MD 130 Centerway, Corning, NY 14830 Ph: (607) 936-9971 |
Russell Dennis Cranston, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 232 Denison Pkwy E, Corning, NY 14830 Phone: 607-937-5800 Fax: 607-398-3341 | |
Richard Alan Rosenberg, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 232 Denison Pkwy E, Corning, NY 14830 Phone: 607-937-5800 Fax: 607-398-3341 |