| Dr Matthew John Liepke, MD | |
|
33 E Schuyler St, Oswego, NY 13126-1161 | |
| (315) 343-6974 | |
| (315) 342-3625 |
| Full Name | Dr Matthew John Liepke |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 33 E Schuyler St, Oswego, New York |
| 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 |
|---|---|---|---|
| 1245220656 | NPI | - | NPPES |
| 02635330 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 234523 (New York) | Primary |
| 208000000X | Pediatrics | 234523 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home (liverpool) | Liverpool, NY | Home health agency |
| Oswego Health Home Care, Llc | Fulton, NY | Home health agency |
| Oswego Hospital | Oswego, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Port City Family Medicine Pc Inc | 2567350606 | 4 |
| Entity Name | Port City Family Medicine Pc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215028055 PECOS PAC ID: 2567350606 Enrollment ID: O20040309001101 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew John Liepke, MD 33 E Schuyler St, Oswego, NY 13126-1161 Ph: (315) 343-6974 | Dr Matthew John Liepke, MD 33 E Schuyler St, Oswego, NY 13126-1161 Ph: (315) 343-6974 |
Padma Ram, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 State Route 104, Suite 1, Oswego, NY 13126 Phone: 315-342-0030 Fax: 315-216-6669 | |
Rayees Nizam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 County Route 45a, Oswego, NY 13126 Phone: 315-312-0089 Fax: 315-312-0110 | |
Dr. Renato Yap Mandanas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 W 5th St, Oswego, NY 13126 Phone: 315-342-1765 Fax: 315-342-1742 | |
Dr. Margaret A Sennett, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 George St, Oswego, NY 13126 Phone: 315-342-0888 Fax: 315-343-4663 | |
Francis Clifford Arce, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 W Utica St, Suite A, Oswego, NY 13126 Phone: 315-216-4871 Fax: 888-827-9682 | |
Dr. Carmen S Bautista Dator, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 177 W 4th St, Oswego, NY 13126 Phone: 315-343-2151 Fax: 315-343-2100 |