| Christopher Enwonwu, | |
|
740 High St Ste 2001, Suite 2001, Williamsport, PA 17701-3102 | |
| (570) 321-2805 | |
| Not Available |
| Full Name | Christopher Enwonwu |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 11 Years |
| Location | 740 High St Ste 2001, Williamsport, 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 |
|---|---|---|---|
| 1750709259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD469617 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Excela Health Westmoreland Regional Hospital | Greensburg, PA | Hospital |
| Crozer Chester Medical Center | Upland, PA | Hospital |
| Excela Health Latrobe Hospital | Latrobe, PA | Hospital |
| Williamsport Regional Medical Center | Williamsport, PA | Hospital |
| Excela Health - Frick Hospital | Mount pleasant, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Susquehanna Physician Services | 2264336460 | 510 |
| Pennsylvania Radiology Associates Pc | 4385170810 | 36 |
| Excela Health Physician Practices, Inc | 6204737117 | 447 |
| Olean General Hospital | 9133111784 | 58 |
| Olean General Hospital | 9133111784 | 58 |
| Entity Name | Excela Health Physician Practices, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962446971 PECOS PAC ID: 2264336460 Enrollment ID: O20040709000543 |
| Entity Name | Olean General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20110202000149 |
| Entity Name | Pennsylvania Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184443921 PECOS PAC ID: 4385170810 Enrollment ID: O20241209000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Enwonwu, 1201 Grampian Blvd, Suite 2001, Williamsport, PA 17701-1900 Ph: () - | Christopher Enwonwu, 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701-3102 Ph: (570) 321-2805 |
Benjamin Bansun Chang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Williamsport, PA 17701 Phone: 703-212-8055 | |
David Quintana, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 | |
Dr. Richard Douglas Walter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 87 Selkirk Rd, Williamsport, PA 17701 Phone: 570-326-4828 | |
Abike Ogunrenike Durojaye, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 | |
Prakash G Koshy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 | |
Chin-chin Yeh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Williamsport, PA 17701 Phone: 570-321-2805 | |
Shabbir Esaa, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 |