| Jerry Pudusseri, DO | |
|
1800 Mulberry St, Scranton, PA 18510-2369 | |
| (570) 703-4830 | |
| (570) 703-4835 |
| Full Name | Jerry Pudusseri |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 15 Years |
| Location | 1800 Mulberry St, Scranton, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881985588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0001X | Internal Medicine - Advanced Heart Failure And Transplant Cardiology | OS025564 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lourdes Hospital | Binghamton, NY | Hospital |
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 230 |
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Pudusseri, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 703-4830 | Jerry Pudusseri, DO 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 703-4830 |
Dr. Rajagopalan Rengan, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-969-0161 Fax: 570-969-0163 | |
Dr. Ivan Cvorovic, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Washington Ave Ste 1000, Scranton, PA 18505 Phone: 570-343-2383 | |
Ritu Khurana, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-7351 Fax: 570-703-7801 | |
Dr. Titilayo O Osuntokun, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 959 Wyoming Ave, Scranton, PA 18509 Phone: 570-344-3517 Fax: 570-344-6839 | |
Nalini G Kakimallaiah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Quincy Ave, Hospitalist Office, Scranton, PA 18510 Phone: 866-519-0457 Fax: 570-770-5263 | |
Dr. Joseph Frank Leo, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 531 Mt Pleasant Dr, Scranton, PA 18503 Phone: 570-342-8500 Fax: 570-558-2290 | |
Fouzia Oza, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-770-5000 |