| Dr Mohamed A Kourtu, MD | |
|
2 W Crescent Park, Warren, PA 16365-2111 | |
| (814) 723-3300 | |
| (814) 723-8515 |
| Full Name | Dr Mohamed A Kourtu |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 2 W Crescent Park, Warren, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659360931 | NPI | - | NPPES |
| 001819996 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | MD049485L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Warren General Hospital | Warren, PA | Hospital |
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Warren Pain Clinic And Acupuncture Center, Pc | 3971540527 | 2 |
| Warren Pain Clinic And Acupuncture Center, Pc | 3971540527 | 2 |
| Entity Name | Warren Pain Clinic And Acupuncture Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255352241 PECOS PAC ID: 3971540527 Enrollment ID: O20050414000661 |
| Entity Name | Great Lakes Anesthesiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306852181 PECOS PAC ID: 7113997529 Enrollment ID: O20171129002800 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohamed A Kourtu, MD 2 W Crescent Park, Warren, PA 16365-2111 Ph: (814) 723-3300 | Dr Mohamed A Kourtu, MD 2 W Crescent Park, Warren, PA 16365-2111 Ph: (814) 723-3300 |
Dr. Vijaya K Agarwala, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 W Crescent Park, Warren, PA 16365 Phone: 814-723-3300 Fax: 814-723-8515 | |
Dr. Niaz Ahmed, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2 W Crescent Park, Warren, PA 16365 Phone: 814-723-3300 Fax: 814-723-8515 |