| Dr Kevin William Kist Jr, DO | |
|
700 High St, Williamsport, PA 17701-3100 | |
| (570) 321-3580 | |
| (570) 321-3581 |
| Full Name | Dr Kevin William Kist Jr |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 38 Years |
| Location | 700 High St, Williamsport, 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 |
|---|---|---|---|
| 1073577383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | OS006496L (Pennsylvania) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | OS006496L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Williamsport Regional Medical Center | Williamsport, PA | Hospital |
| Upmc Susquehanna Muncy | Muncy, PA | Hospital |
| Upmc Cole | Coudersport, PA | Hospital |
| Upmc Wellsboro | Wellsboro, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Susquehanna Physician Services | 2264336460 | 510 |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083677868 PECOS PAC ID: 2264336460 Enrollment ID: O20070129000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin William Kist Jr, DO 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: () - | Dr Kevin William Kist Jr, DO 700 High St, Williamsport, PA 17701-3100 Ph: (570) 321-3580 |
Ganga Ranasuriya, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-3580 | |
Dr. William Craig Mccauley, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-3580 Fax: 570-321-3581 | |
Thomas Neil Shaner, D.O. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1705 Warren Ave, Williamsport, PA 17701 Phone: 570-322-4791 | |
Dr. Alfredo L Blas Iii, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2850 Fax: 570-321-2851 | |
Scott Segel, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7848 | |
Dr. Zachary Weeder Simpson, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898 |