| Pesara P Reddy, MD | |
|
2500 W 12th St, The Regional Cancer Ctr, Erie, PA 16505 | |
| (814) 835-9000 | |
| (814) 838-0443 |
| Full Name | Pesara P Reddy |
|---|---|
| Gender | Female |
| Speciality | Radiology - Radiation Oncology |
| Location | 2500 W 12th St, Erie, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548233190 | NPI | - | NPPES |
| 0006903140001 | Medicaid | PA | |
| 2193611 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | MD034289L (Pennsylvania) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | MD034289L (Pennsylvania) | Primary |
| Entity Name | Mountain View Cancer Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013984376 PECOS PAC ID: 5597666792 Enrollment ID: O20040120000532 |
| Entity Name | University Of Pittsburgh Cancer Institute Cancer Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427025840 PECOS PAC ID: 6709771587 Enrollment ID: O20040219000811 |
| Entity Name | Fayette Oncology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003817958 PECOS PAC ID: 1052201589 Enrollment ID: O20040318000539 |
| Entity Name | Upmc/hvhs Cancer Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609843861 PECOS PAC ID: 8224022181 Enrollment ID: O20040413000957 |
| Entity Name | Upmc/conemaugh Cancer Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326015538 PECOS PAC ID: 7618912494 Enrollment ID: O20050622000702 |
| Entity Name | Upmc/st Clair Hospital Cancer Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306138169 PECOS PAC ID: 9638349558 Enrollment ID: O20110902000010 |
| Entity Name | Butler Cancer Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649519778 PECOS PAC ID: 7719122316 Enrollment ID: O20130403000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Pesara P Reddy, MD 2500 W 12th St, The Regional Cancer Ctr, Erie, PA 16505 Ph: (814) 835-9000 | Pesara P Reddy, MD 2500 W 12th St, The Regional Cancer Ctr, Erie, PA 16505 Ph: (814) 835-9000 |
Floyd Hyatt, Radiology Medicare: Not Enrolled in Medicare Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-6182 | |
Bharath Kumar Chinta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 232 W 25th St, Erie, PA 16544 Phone: 814-452-5000 | |
Thomas J Wilkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 Sigsbee St, Erie, PA 16508 Phone: 814-454-4599 Fax: 814-454-4503 | |
Rachel Anne Lagos, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-6182 Fax: 814-877-6149 | |
Aaron Rucks, Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 State St Fl 4, Erie, PA 16507 Phone: 814-877-6370 | |
Margaret Glenn, Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 State St Ste 108, 1st Floor Suite 108, Erie, PA 16507 Phone: 814-877-5560 | |
Kevin Andrew Fisher, MD Radiology Medicare: Medicare Enrolled Practice Location: 2500 W 12th St, Erie, PA 16505 Phone: 814-838-9000 Fax: 814-838-0462 |