| Dr Mark T Ogino, MD | |
|
100 E Mountain Drive, Wilkes Barre, PA 18711-0027 | |
| (570) 808-8653 | |
| (570) 808-8658 |
| Full Name | Dr Mark T Ogino |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 100 E Mountain Drive, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477654598 | NPI | - | NPPES |
| 0000231092 | Other | HI | HMSA BILLING NUMBER |
| 500935-01 | Medicaid | HI |
| Entity Name | Childrens Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
| Entity Name | Prospect Health Access Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark T Ogino, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-8653 | Dr Mark T Ogino, MD 100 E Mountain Drive, Wilkes Barre, PA 18711-0027 Ph: (570) 808-8653 |
Dr. Karen Ann Ephlin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 166 Hanover St, Wilkes Barre, PA 18702 Phone: 570-808-6672 Fax: 570-808-6673 |
Carlos Luis Oberto, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 169 N Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-491-0126 |
Dr. Akila Venkataraman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300 |
Mr. Leopoldo Poblete Legaspi Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Church St, Wilkes Barre, PA 18702 Phone: 570-808-3100 |
Dr. Jayesh B Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-8653 Fax: 570-808-8658 |
Dr. Michelle K Sudo, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1102 Highway 315 Blvd, Wilkes Barre, PA 18702 Phone: 570-235-1470 Fax: 570-550-9356 |
Dr. Karen J Lurito, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7996 Fax: 570-808-6072 |