| Dr Philip A Heavner, MD | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 888-5858 | |
| Not Available |
| Full Name | Dr Philip A Heavner |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| 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 |
|---|---|---|---|
| 1093773111 | NPI | - | NPPES |
| 02657225 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 234803 (New York) | 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 |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip A Heavner, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Philip A Heavner, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Dr. Beth A. Shortridge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 Fax: 570-887-3382 | |
Dr. Jennifer Marie Coseo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 Fax: 570-887-3382 | |
Meghan Sutryk, Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 | |
Dr. John Paul Pacanowski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Kenneth Sobel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 607-767-0340 | |
Dr. Naveen Minumula, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 N Elmer Ave, Sayre, PA 18840 Phone: 570-887-3070 Fax: 570-887-3382 |