| Dr Mark L Mudano, MD | |
|
75 Beekman St, Plattsburgh, NY 12901-1438 | |
| (518) 561-2000 | |
| Not Available |
| Full Name | Dr Mark L Mudano |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 75 Beekman St, Plattsburgh, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487759650 | NPI | - | NPPES |
| 000802722E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME132909 (Florida) | Secondary |
| 207X00000X | Orthopaedic Surgery | 28054 (Georgia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 309292 (New York) | Primary |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark L Mudano, MD 75 Beekman St, Plattsburgh, NY 12901-1438 Ph: (518) 561-2000 | Dr Mark L Mudano, MD 75 Beekman St, Plattsburgh, NY 12901-1438 Ph: (518) 561-2000 |
Forrest Loyd Anderson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 206 Cornelia St, Plattsburgh, NY 12901 Phone: 518-314-3560 | |
Jane Zhengyu Liu, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 75 Park Ave, Plattsburgh, NY 12901 Phone: 518-561-2000 | |
Albert Michael Imobersteg, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 206 Cornelia St, Suite 105, Plattsburgh, NY 12901 Phone: 518-561-5516 Fax: 518-563-7421 | |
Charles Philip Volk, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 206 Cornelia St, Suite 105, Plattsburgh, NY 12901 Phone: 518-561-5516 | |
Dr. Pamela A Reinhardt, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 96 Court St, Plattsburgh, NY 12901 Phone: 518-562-0519 Fax: 518-562-3316 | |
Dr. Howard M Black, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 96 Court St, Plattsburgh, NY 12901 Phone: 518-563-8822 Fax: 518-562-3316 |