| Dr Mary Teresa Kashurba, MD | |
|
727 Goucher St, Johnstown, PA 15905-3025 | |
| (814) 255-8212 | |
| Not Available |
| Full Name | Dr Mary Teresa Kashurba |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 727 Goucher St, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417082488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MD032971E (Pennsylvania) | Primary |
| Entity Name | Lyceum Physical Medicine, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235422759 PECOS PAC ID: 6204006554 Enrollment ID: O20110824000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Teresa Kashurba, MD 116 Woodside Dr, Somerset, PA 15501-8813 Ph: (814) 233-8640 | Dr Mary Teresa Kashurba, MD 727 Goucher St, Johnstown, PA 15905-3025 Ph: (814) 255-8212 |
Robert D Nelson, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1407 Eisenhower Blvd, Suite 104, Johnstown, PA 15904 Phone: 814-269-1494 Fax: 814-266-8572 | |
Courtney Kohler, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1910 Minno Dr Ste 240, Johnstown, PA 15905 Phone: 814-255-3566 | |
William A. Bergin, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 16 Rose Street, Johnstown, PA 15905 Phone: 814-539-0257 Fax: 814-536-0963 | |
Dana Roles, LPTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 151 Gayview Ter, Johnstown, PA 15905 Phone: 814-421-6946 | |
Alcinto Steven Guirand, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1450 Scalp Ave Ste 2100, Johnstown, PA 15904 Phone: 814-269-5211 | |
William M Demayo, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 360 Goucher St, Johnstown, PA 15905 Phone: 814-288-4448 Fax: 814-288-4477 |