| Ghassem Mangouri, MD | |
|
355 Riverside Dr, Johnson City, NY 13790-2708 | |
| (607) 798-0706 | |
| Not Available |
| Full Name | Ghassem Mangouri |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 52 Years |
| Location | 355 Riverside Dr, Johnson City, 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 |
|---|---|---|---|
| 1134119209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 154223 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lourdes Hospital | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 230 |
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Ghassem Mangouri, MD 355 Riverside Dr, Johnson City, NY 13790-2708 Ph: (607) 798-0706 | Ghassem Mangouri, MD 355 Riverside Dr, Johnson City, NY 13790-2708 Ph: (607) 798-0706 |
J Richard Cunningham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 Harrison St, Suite 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 | |
Curtis Frederick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 | |
Dr. Kimberly Marie Syres, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-5494 | |
Mark Brennan, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St, Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 | |
Jeffrey Scott Wiseman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 Harrison St Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 | |
Dariush Vaziri, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 355 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-0706 |