| Stanley G Pugsley, MD | |
|
1800 Mulberry St., Scranton, PA 18510-6800 | |
| (570) 703-8888 | |
| (570) 703-8512 |
| Full Name | Stanley G Pugsley |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 1800 Mulberry St., Scranton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194866889 | NPI | - | NPPES |
| 102881200 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 029034 (Connecticut) | Secondary |
| 207T00000X | Neurological Surgery | MD450126 (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 |
|---|---|
| Stanley G Pugsley, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Stanley G Pugsley, MD 1800 Mulberry St., Scranton, PA 18510-6800 Ph: (570) 703-8888 |
P Shripathi Holla, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-969-8888 Fax: 570-969-8512 | |
Dr. Amiel W Bethel, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8888 Fax: 570-703-8512 | |
Dr. Philip Joseph Hlavac, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8888 Fax: 570-703-8512 |