Susquehanna Physician Services - Medicare in Williamsport, PA

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Susquehanna Physician Services is a medicare enrolled "Otolaryngology" provider in Williamsport, Pennsylvania. Their current practice location is 1705 Warren Ave, Suite 204-205, Williamsport, Pennsylvania. You can reach out to their office (for appointments etc.) via phone at (570) 320-7474.

Susquehanna Physician Services is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Susquehanna Physician Services is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1346263266.

Contact Information

Susquehanna Physician Services
1705 Warren Ave, Suite 204-205,
Williamsport, PA 17701-2647
(570) 320-7474
(570) 320-7479

Map and Direction




Healthcare Provider's Profile

Full NameSusquehanna Physician Services
TypeFacility
SpecialityOtolaryngology
Location1705 Warren Ave, Williamsport, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346263266
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2264336460
  • Enrollment ID: O20040309000205

Medical Identifiers

Medical identifiers for Susquehanna Physician Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346263266NPI-NPPES
0017300760201MedicaidPA
0017300760202MedicaidPA
501737OtherPAHIGHMARK BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist (* (Not Available))Secondary
237600000XAudiologist-hearing Aid Fitter (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Susquehanna Physician Services acts as a billing entity for following providers:
Provider NameWilliam Banks
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1376511386
PECOS PAC ID: 4789729385
Enrollment ID: I20100308000277
Provider NameJeremy R Reed
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1396926374
PECOS PAC ID: 7214060433
Enrollment ID: I20100809000321
Provider NameKimberly S Dzikowski
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1184942682
PECOS PAC ID: 1658405493
Enrollment ID: I20100817000069
Provider NameRadu Mihail
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1730186404
PECOS PAC ID: 6709860604
Enrollment ID: I20120816000172
Provider NameNathaniel David Hare
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1598974560
PECOS PAC ID: 6103891650
Enrollment ID: I20130621000188
Provider NameJennifer R Rager
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1376733055
PECOS PAC ID: 7719129360
Enrollment ID: I20130809000373
Provider NameCarly Madeleine Magill
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1144660705
PECOS PAC ID: 8426290057
Enrollment ID: I20130812000458
Provider NameSerena D Gibney
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1922423441
PECOS PAC ID: 4082839444
Enrollment ID: I20140627001719
Provider NameJon Michael Chan
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1053577924
PECOS PAC ID: 3274760541
Enrollment ID: I20160531001806
Provider NameMeghan N Wilson
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1366684490
PECOS PAC ID: 9830477728
Enrollment ID: I20170823001728
Provider NameKathryn Marie Morton-deininger
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1174968382
PECOS PAC ID: 6608112701
Enrollment ID: I20190926001999
Provider NameDavid Joseph Flynn
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1093147423
PECOS PAC ID: 0244656726
Enrollment ID: I20200813003555
Provider NameAnthony Tolisano
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1003178617
PECOS PAC ID: 8325388457
Enrollment ID: I20201207000723
Provider NameWhitney Strosser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124611264
PECOS PAC ID: 3476969536
Enrollment ID: I20210316000086
Provider NameJeffrey Cabral Teixeira
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1598103970
PECOS PAC ID: 6204068133
Enrollment ID: I20231016000986
Provider NameSteven Y Park
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1962477042
PECOS PAC ID: 5092732768
Enrollment ID: I20240323000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susquehanna Physician Services is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susquehanna Physician Services
1201 Grampian Blvd,
Williamsport, PA 17701-1900

Ph: () -		Susquehanna Physician Services
1705 Warren Ave, Suite 204-205,
Williamsport, PA 17701-2647

Ph: (570) 320-7474

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.