| Dr Wade Travis Gordon, MD | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 887-2841 | |
| (570) 887-2364 |
| Full Name | Dr Wade Travis Gordon |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| 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 |
|---|---|---|---|
| 1316936842 | NPI | - | NPPES |
| 221155 | Other | NY | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD469347 (Pennsylvania) | Primary |
| 207X00000X | Orthopaedic Surgery | 221155 (New York) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wade Travis Gordon, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Wade Travis Gordon, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 887-2841 |
Dr. Russell John Striff, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-882-3007 | |
Dr. Mason Scott Stilwell, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2841 Fax: 570-887-2079 | |
Dr. Brett Auerbach, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2841 Fax: 570-887-2079 | |
Cathryn Jo Kinsman, PA Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2180 Fax: 570-887-2364 | |
Dr. Robert Edward Cohen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-887-2079 | |
Joseph Young Choi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-887-2079 |