| Dr Mazen Rafic Fouany, MD | |
|
1001 E 2nd St, Coudersport, PA 16915-8161 | |
| (814) 274-7101 | |
| (814) 274-3251 |
| Full Name | Dr Mazen Rafic Fouany |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 14 Years |
| Location | 1001 E 2nd St, Coudersport, 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 |
|---|---|---|---|
| 1679720791 | NPI | - | NPPES |
| 102834864 0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD445028 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| White Plains Hospital Center | White plains, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White Plains Physician Services Pc | 3476894445 | 325 |
| Entity Name | White Plains Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174994149 PECOS PAC ID: 4981593092 Enrollment ID: O20160506000777 |
| Entity Name | White Plains Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1992255392 PECOS PAC ID: 4981593092 Enrollment ID: O20161219001743 |
| Entity Name | White Plains Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124502687 PECOS PAC ID: 3476894445 Enrollment ID: O20190402000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mazen Rafic Fouany, MD 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: (814) 274-7101 | Dr Mazen Rafic Fouany, MD 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: (814) 274-7101 |
Dr. Celso Luiz Backes, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-7101 Fax: 814-274-3251 | |
Dr. James M. Clark, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St Ste N, Coudersport, PA 16915 Phone: 814-274-7101 | |
Dr. Ethan Gable, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St Ste N, Coudersport, PA 16915 Phone: 814-274-7101 |