| Mrs Kennita Luvangee Burns-johnson, DO | |
|
164 Greenview Dr Ste 345, State College, PA 16803-2106 | |
| (814) 234-7599 | |
| (814) 237-2126 |
| Full Name | Mrs Kennita Luvangee Burns-johnson |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 164 Greenview Dr Ste 345, State College, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922393651 | NPI | - | NPPES |
| OS018355 | Other | PA | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OS018355 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chambersburg Hospital | Chambersburg, PA | Hospital |
| Mount Nittany Medical Center | State college, PA | Hospital |
| Penn Highlands Huntingdon | Huntingdon, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspan Medical Group | 1951213115 | 2052 |
| Mount Nittany Medical Center Health Services Inc | 8426136797 | 296 |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Entity Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598992554 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kennita Luvangee Burns-johnson, DO 155 Wellness Way, State College, PA 16803-6702 Ph: (814) 231-7000 | Mrs Kennita Luvangee Burns-johnson, DO 164 Greenview Dr Ste 345, State College, PA 16803-2106 Ph: (814) 234-7599 |
Dr. Salvatore M. Ramondelli, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126 | |
Blake Alexander Stewart, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126 | |
Dr. David Michael Chambers, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave Ste 201, State College, PA 16803 Phone: 814-234-7599 | |
Robert M. Hall, MD Surgery Medicare: Medicare Enrolled Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888 | |
Dr. Asna A Amin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126 | |
Matthew D Davidson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126 | |
Enoch David Han, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave Ste 201, State College, PA 16803 Phone: 814-689-3140 Fax: 814-234-0491 |