| Mark Kwalbrun, MD | |
|
1571 Washington St, Suite 101, Watertown, NY 13601-9304 | |
| (315) 786-5000 | |
| (315) 786-5001 |
| Full Name | Mark Kwalbrun |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 1571 Washington St, Watertown, 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 |
|---|---|---|---|
| 1811997042 | NPI | - | NPPES |
| 02461787 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 225726 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Medical Center | Watertown, NY | Hospital |
| Carthage Area Hospital, Inc | Carthage, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lawrence Radiology Assoc Pc | 2264421122 | 23 |
| Samaritan Medical Center | 8123914876 | 138 |
| Entity Name | Downtown Bronx Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
| Entity Name | Samaritan Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525 |
| 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 | Seaway Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124012018 PECOS PAC ID: 6305837584 Enrollment ID: O20040518001496 |
| Entity Name | Ali M Gharagozloo Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831182633 PECOS PAC ID: 0446228472 Enrollment ID: O20040917000973 |
| Entity Name | Coney Island Medical Practice Plan, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
| Entity Name | Harlem Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487957692 PECOS PAC ID: 9335321223 Enrollment ID: O20110315000005 |
| Entity Name | Metropolitan Medical Practice Plan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Kwalbrun, MD 1571 Washington St, Suite 101, Watertown, NY 13601-9304 Ph: (315) 786-5046 | Mark Kwalbrun, MD 1571 Washington St, Suite 101, Watertown, NY 13601-9304 Ph: (315) 786-5000 |
Dr. Susanne Daye, MD Radiology Medicare: Medicare Enrolled Practice Location: 1571 Washington St, Suite 101, Watertown, NY 13601 Phone: 315-786-5046 Fax: 315-786-5043 | |
Dr. Todd D Clopper, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1571 Washington St, Watertown, NY 13601 Phone: 315-786-5000 | |
Daniel J Weber, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1571 Washington St, Suite 101, Watertown, NY 13601 Phone: 315-786-5046 Fax: 315-786-5043 | |
Daniel Francis Nattell, MD Radiology Medicare: Medicare Enrolled Practice Location: 1571 Washington St, Watertown, NY 13601 Phone: 315-786-5000 | |
Dr. Russell Abbott Reeves, M.D., M.S. Radiology Medicare: Accepting Medicare Assignments Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4100 | |
Jeffrey D Way, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1571 Washington St, Watertown, NY 13601 Phone: 315-786-5046 Fax: 315-786-5043 | |
Richard G Sherry, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1340 Washington St, Watertown, NY 13601 Phone: 315-782-9003 Fax: 315-782-9010 |