| Glauco Michael Maresca, MD | |
|
50 Leroy St, Canton-potsdam Hospital, Potsdam, NY 13676-1786 | |
| (315) 265-4924 | |
| (315) 268-1723 |
| Full Name | Glauco Michael Maresca |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 50 Leroy St, Potsdam, 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 |
|---|---|---|---|
| 1053370742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | 177246-1 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 177246 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Samaritan Medical Center | Watertown, NY | Hospital |
| Auburn Community Hospital | Auburn, NY | Hospital |
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upstate Radiology Pc | 0244538015 | 6 |
| St Lawrence Radiology Assoc Pc | 2264421122 | 23 |
| Olean Radiology, Pc | 9133118862 | 11 |
| Maritime Radiology Associates Pc | 2961566989 | 7 |
| Entity Name | Olean Medical Group Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689669541 PECOS PAC ID: 1951203850 Enrollment ID: O20040122000168 |
| Entity Name | Seneca Nation Of Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
| Entity Name | Zwanger & Pesiri Radiology Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477523413 PECOS PAC ID: 5092700799 Enrollment ID: O20040420000622 |
| Entity Name | St Lawrence Radiology Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154380863 PECOS PAC ID: 2264421122 Enrollment ID: O20040507000290 |
| Entity Name | Olean Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700829850 PECOS PAC ID: 9133118862 Enrollment ID: O20040508000177 |
| Entity Name | Upstate Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508241878 PECOS PAC ID: 0244538015 Enrollment ID: O20160418000201 |
| Entity Name | Imaging Subspecialist Of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124655352 PECOS PAC ID: 4688089451 Enrollment ID: O20210209002443 |
| Mailing Address | Practice Location Address |
|---|---|
| Glauco Michael Maresca, MD Po Box 41643, Baltimore, MD 21203-6643 Ph: (315) 265-4924 | Glauco Michael Maresca, MD 50 Leroy St, Canton-potsdam Hospital, Potsdam, NY 13676-1786 Ph: (315) 265-4924 |
Meggyn Everhart, RT(M) Radiology Medicare: Not Enrolled in Medicare Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Jubin Jacob, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-4924 | |
Baktash Bootorabi, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-782-2620 |