| Ismene N Maravegias, MD | |
|
400 Caroline St, Ogdensburg, NY 13669-2602 | |
| (315) 212-0144 | |
| Not Available |
| Full Name | Ismene N Maravegias |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 400 Caroline St, Ogdensburg, 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 |
|---|---|---|---|
| 1992751366 | NPI | - | NPPES |
| 223594884 | Other | NY | EXCELLUS BCBS |
| 223594884008 | Other | NY | CHAMPUS/TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 217757 (New York) | Primary |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Emergency Physician Services Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
| Entity Name | Delphi Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922270420 PECOS PAC ID: 5395819478 Enrollment ID: O20080807000352 |
| Entity Name | Gouverneur Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
| Entity Name | Massena Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972604460 PECOS PAC ID: 1456781491 Enrollment ID: O20200515000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Ismene N Maravegias, MD 307 S Evergreen Ave, Woodbury, NJ 08096-2739 Ph: (856) 686-4300 | Ismene N Maravegias, MD 400 Caroline St, Ogdensburg, NY 13669-2602 Ph: (315) 212-0144 |
Christopher E Comeau, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 921 State St, Ogdensburg, NY 13669 Phone: 315-393-9269 Fax: 315-393-3541 | |
John Alexander Ritter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-8995 Fax: 315-393-8880 | |
John Christopher Williams, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 921 State Street, Ogdensburg, NY 13669 Phone: 315-393-9269 Fax: 315-393-3541 | |
Joseph Caytak, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-8995 Fax: 315-393-8880 | |
Alex Pasquariello, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-8880 Fax: 315-393-8895 |