| Dr Michael Joseph Hudock, MD | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 888-5858 | |
| Not Available |
| Full Name | Dr Michael Joseph Hudock |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1 Guthrie Sq, Sayre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275501157 | NPI | - | NPPES |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| 180040318 | Other | PA | RR MEDICARE PIN |
| GU039847 | Other | PA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 162180-1 (New York) | Secondary |
| 207W00000X | Ophthalmology | MD027583E (Pennsylvania) | 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 Michael Joseph Hudock, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Michael Joseph Hudock, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Dr. Lester Jay Mcdonald, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Terence Moody Devine, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-887-3236 | |
Elysa Amber Mcclintic, M.D., M.S. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-3241 Fax: 570-887-3236 | |
Dr. Stephen Albert Hudock, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |