| Dr Oghenero Solomon Agbroko, MD | |
|
100 N Academy Ave, Danville, PA 17822-9800 | |
| (570) 271-6298 | |
| (570) 271-5841 |
| Full Name | Dr Oghenero Solomon Agbroko |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 100 N Academy Ave, Danville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508270372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD486497 (Pennsylvania) | Primary |
| 207V00000X | Obstetrics & Gynecology | FA4656178 (Pennsylvania) | Secondary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oghenero Solomon Agbroko, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6298 | Dr Oghenero Solomon Agbroko, MD 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-6298 |
Kristin Lorraine Martin, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6298 Fax: 570-271-5841 | |
Dr. Diane De Lisi Timms, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6298 Fax: 570-271-5841 | |
Dr. Brytanie Nicole Marshall, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 North Academy Ave., Danville, PA 17822 Phone: 570-271-6298 Fax: 570-271-5841 | |
Dr. Ekaterina Halivelakis, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Andrew James Bomar, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-214-0014 | |
Dr. Deborah A. Poplawsky, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6298 | |
Kajal Angras, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 100 North Academy Ave, Danville, PA 17822 Phone: 570-271-6298 Fax: 570-271-5841 |