| 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: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-362-8674 Fax: 814-362-8695 |