Jennifer L. Bau, MD
Individual provider Active NPI Diagnostic Radiology Physician · Sayre, PA
NPI 1790908069 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1790908069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD436395 (PA)
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 887-4000
- Fax
- (570) 887-5775
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Pennsylvania State University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology Associates of Abilene PA
Practice addresses (Care Compare)
1051 Breesport Rd
Erin, NY 14838-9709
Phone (800) 550-5606
Hospital & facility affiliations
- Hendrick Medical Center
- Hendrick Medical Center Brownwood
- Robert Packer Hospital
- Rolling Plains Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090701000624 | PA | Practitioner - Diagnostic Radiology | 4183775117 | Reassigns benefits to 2 organizations |
| I20161011000862 | NY | Practitioner - Diagnostic Radiology | 4183775117 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT183859 | PA | MD | Diagnostic Neuroimaging (Radiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C, | Diagnostic Radiology | Current |
Accepting new patients |
| Radiology Associates of Abilene PA | Diagnostic Radiology | Current |
Accepting new patients |
| Scranton Hospitalist Physician Services LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165
575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222
4400 Buffalo Gap Rd
Ste 2600
Abilene, TX 79606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | MT183859 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD436395 | PA | Yes |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbau88773@direct-guthrie.org | Direct |
Other providers in Sayre, PA
- Shannon Marie Baron
- Matthew R Barrett
- Kuldeep Kumar Bassi
- Jodi L Bates
- Meenu Batra
- Russell William Bauer
- William O. Bauman
- Jessica Foster Beall
- Nicole Beavers
- Lauren Louise Beck
All providers in Sayre, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.