| Dr Lee W Davis, DO | |
|
407 N State St, Clarks Summit, PA 18411-1061 | |
| (570) 586-9500 | |
| (570) 586-9485 |
| Full Name | Dr Lee W Davis |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 407 N State St, Clarks Summit, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922087485 | NPI | - | NPPES |
| 0009667450004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | OS004835L (Pennsylvania) | Primary |
| Entity Name | Scranton Quincy Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lee W Davis, DO 407 N State St, Clarks Summit, PA 18411-1061 Ph: (570) 586-9500 | Dr Lee W Davis, DO 407 N State St, Clarks Summit, PA 18411-1061 Ph: (570) 586-9500 |
Barry Lee Green, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 407 N State St, Clarks Summit, PA 18411 Phone: 570-586-6637 Fax: 570-587-0547 | |
Melissa Scalera, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 790 Northern Blvd, Clarks Summit, PA 18411 Phone: 570-586-5155 | |
Sumit Ghosh, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 790 Northern Blvd, Clarks Summit, PA 18411 Phone: 570-586-5155 Fax: 570-586-5105 |