| Vineet Agrawal, MD | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 887-2845 | |
| (570) 887-2011 |
| Full Name | Vineet Agrawal |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 27 Years |
| Location | 1 Guthrie Sq, Sayre, 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 |
|---|---|---|---|
| 1932540218 | NPI | - | NPPES |
| 04191984 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD454350 (Pennsylvania) | Primary |
| 208800000X | Urology | 269120 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Packer Hospital | Sayre, PA | Hospital |
| Corning Hospital | Corning, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guthrie Medical Group Pc | 6002728656 | 725 |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Vineet Agrawal, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Vineet Agrawal, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 887-2845 |
Chalairat Suk-ouichai, MD, MPH Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2845 | |
Dr. John Thomas Sommer, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2845 Fax: 570-887-2011 | |
Dr. Pocharapong Jenjitranant, MD MSC Urology Medicare: May Accept Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Crystal Dover Sadik, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2845 Fax: 570-887-2011 | |
Ahmed Fawzy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2845 Fax: 570-887-2011 |