| Kent Knisley, MD | |
|
100 John St, Troy, PA 16947-1118 | |
| (570) 297-2121 | |
| (570) 297-3970 |
| Full Name | Kent Knisley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 100 John St, Troy, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063488229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD032042E (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Knisley, MD 100 John St, Troy, PA 16947-1118 Ph: (570) 297-2121 | Kent Knisley, MD 100 John St, Troy, PA 16947-1118 Ph: (570) 297-2121 |
George P Abraham, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 John St, Troy, PA 16947 Phone: 570-297-2121 | |
Mohammed Ashraf, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 John St, Troy, PA 16947 Phone: 570-297-2121 Fax: 570-297-3970 | |
Dr. Ralph R Barnard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 275 Guthrie Dr, Troy, PA 16947 Phone: 570-297-2121 Fax: 570-297-3970 |