| Marita Powell, DO | |
|
40 Arch St, Johnson City, NY 13790-2102 | |
| (607) 763-6075 | |
| (607) 763-5234 |
| Full Name | Marita Powell |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 40 Arch St, Johnson City, 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 |
|---|---|---|---|
| 1215989538 | NPI | - | NPPES |
| 01493970 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 187655 (New York) | Primary |
| Entity Name | United Health Services Hospitals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Marita Powell, DO 58 Lusk St, Johnson City, NY 13790-2541 Ph: (607) 763-6293 | Marita Powell, DO 40 Arch St, Johnson City, NY 13790-2102 Ph: (607) 763-6075 |
Christian Edwards, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 507 Main St, Johnson City, NY 13790 Phone: 607-763-6075 | |
Roshni Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 Main St, Johnson City, NY 13790 Phone: 607-763-6075 | |
Daniel M Young, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 Main St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 | |
Dr. Jacqueline E J Bhandari, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 Main St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 | |
Dr. Samantha Grace Hathaway, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 Reynolds Rd, Johnson City, NY 13790 Phone: 607-798-5510 | |
Katherine Holmes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Arch St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 | |
Christopher W Ryan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 40 Arch St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 |