| Bryan G Custer, PA-C | |
|
1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 | |
| (814) 237-4321 | |
| (814) 235-0484 |
| Full Name | Bryan G Custer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1700 Old Gatesburg Rd Ste 200, 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 |
|---|---|---|---|
| 1922062231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA051396 (Pennsylvania) | Primary |
| Entity Name | Centre Emergency Medical Associates, PC. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609891365 PECOS PAC ID: 3375529183 Enrollment ID: O20040624000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan G Custer, PA-C 155 Wellness Way, State College, PA 16803-6702 Ph: (814) 231-7000 | Bryan G Custer, PA-C 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 Ph: (814) 237-4321 |
Mrs. Kelly Kathleen Luther, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1630 N Atherton St, State College, PA 16803 Phone: 814-238-1279 Fax: 814-238-1929 |
Ms. April A. Rine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-235-5512 |
Mr. Matthew Ethan Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126 |
Mr. Scott M Minor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803 Phone: 814-237-4321 Fax: 814-235-0484 |
Ashley Marie Bowser, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-278-4818 Fax: 814-234-6150 |
Amanda M. Cordero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-278-4818 Fax: 814-234-6150 |
Miss Brynn Marie Dunkleberger, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 Fax: 814-231-7022 |