| Paul Guillard, MD | |
|
1700 Old Gatesburg Rd, Suite 310, State College, PA 16803-2276 | |
| (814) 237-3122 | |
| (814) 237-4050 |
| Full Name | Paul Guillard |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1700 Old Gatesburg Rd, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174516769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD027126E (Pennsylvania) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD027126E (Pennsylvania) | Secondary |
| 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 |
|---|---|
| Paul Guillard, MD 1700 Old Gatesburg Rd, Suite 310, State College, PA 16803-2276 Ph: (814) 237-3122 | Paul Guillard, MD 1700 Old Gatesburg Rd, Suite 310, State College, PA 16803-2276 Ph: (814) 237-3122 |
Paul Andrew Koberna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2134 Sandy Dr Ste 16, State College, PA 16803 Phone: 814-272-5805 Fax: 814-272-0110 | |
Peter F. Pepe, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 201, State College, PA 16803 Phone: 814-234-8800 | |
Keriann Nickola Gray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr., State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Dr. Manisha N. Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Dr. Joel B Haight, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 32 Colonnade Way, State College, PA 16803 Phone: 814-272-4445 Fax: 814-272-4450 | |
Jeffrey W. Pro, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 302, State College, PA 16803 Phone: 814-278-4680 Fax: 814-235-1523 | |
Dr. Scott A. Sulman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-235-5512 |