| Dr Richard Martines, DO | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 888-5858 | |
| Not Available |
| Full Name | Dr Richard Martines |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| 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 |
|---|---|---|---|
| 1700857257 | NPI | - | NPPES |
| 0011266060001 | Medicaid | PA | |
| 110069222 | Other | PA | RR MEDICARE PIN |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| 01088137 | Medicaid | NY | |
| GU039820 | Other | PA | PA MEDICARE GROUP |
| P00196063 | Other | NY | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | OS004256L (Pennsylvania) | Primary |
| 207N00000X | Dermatology | 166095-1 (New York) | Secondary |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Martines, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Richard Martines, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Dr. Rachel D. Lee, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-887-3029 | |
Dr. Charles Robert Fedele, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1229 Pennsylvania Avenue, Sayre, PA 18840 Phone: 570-888-5858 | |
Zachary Todd Skabelund, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 105 Desmond St, Sayre, PA 18840 Phone: 570-887-3163 |