| Dr Ricky Eugene Hartman, DO | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 887-4160 | |
| (570) 887-4193 |
| Full Name | Dr Ricky Eugene Hartman |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| 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 |
|---|---|---|---|
| 1770549586 | NPI | - | NPPES |
| 174075 | Other | HBS | |
| 0015509710007 | Medicaid | PA | |
| 03339273 | Medicaid | NY | |
| 220032782 | Other | RR MC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | OS005557L (Pennsylvania) | Primary |
| 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 Ricky Eugene Hartman, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Ricky Eugene Hartman, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 887-4160 |
Dr. Surya Narayanan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Ashit Baran Sarker, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-4160 Fax: 570-887-4193 | |
Dr. Joseph Tak-pun King, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Hani Hojjati, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-4160 Fax: 570-887-4193 | |
Cristina Aguilar, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-4160 Fax: 570-887-4193 | |
Dr. Richard Perry Bradstreet, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-887-4193 |