| Dr Phillip J Cusano, MD | |
| 116 Interstate Pkwy, Bradford, PA 16701-1036 | |
| (814) 362-8674 | |
| Not Available | 
| Full Name | Dr Phillip J Cusano | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 116 Interstate Pkwy, Bradford, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619948908 | NPI | - | NPPES | 
| 1012850420 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 234708 (New York) | Secondary | 
| 207L00000X | Anesthesiology | MD435560 (Pennsylvania) | Primary | 
| Entity Name | Allied Anesthesia Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001 | 
| Entity Name | County Of San Joaquin | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 | 
| Entity Name | San Joaquin Faculty Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 | 
| Entity Name | Premier Anesthesia Of California Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770691859 PECOS PAC ID: 5092897025 Enrollment ID: O20080130000444 | 
| Entity Name | Sutter Valley Medical Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 | 
| Entity Name | Valley Regional Anesthesia Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 | 
| Entity Name | Stanislaus Anesthesia Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679335632 PECOS PAC ID: 6608306089 Enrollment ID: O20250214001096 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Phillip J Cusano, MD 908 Niagara Falls Blvd, Suite 208, North Tonawanda, NY 14120-2019 Ph: (716) 692-2160 | Dr Phillip J Cusano, MD 116 Interstate Pkwy, Bradford, PA 16701-1036 Ph: (814) 362-8674 | 
| Donghui Chen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-362-8674 Fax: 814-362-8695 |