| Mark Paul Speicher, DO | |
|
33-57 Harrison St, Hospitalist Dept, Johnson City, NY 13790-2107 | |
| (607) 763-6622 | |
| (607) 763-5064 |
| Full Name | Mark Paul Speicher |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 33-57 Harrison St, 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 |
|---|---|---|---|
| 1346215845 | NPI | - | NPPES |
| 02052197 | Medicaid | NY | |
| 0017620980002 | Medicaid | PA | |
| P00624424 | Other | RR MEDICARE | |
| 110221437 | Other | NY | RR MEDICARE PIN |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 213917 (New York) | Primary |
| 207R00000X | Internal Medicine | OS009551L (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | 213917-1 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Medical Associates Pc | 0345144978 | 205 |
| United Health Services Hospitals, Inc. | 5193610533 | 402 |
| Entity Name | United Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
| 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 |
| Entity Name | Delaware Valley Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144312646 PECOS PAC ID: 2860388337 Enrollment ID: O20040223001307 |
| Entity Name | Chenango Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770593956 PECOS PAC ID: 7517853633 Enrollment ID: O20040225000911 |
| Entity Name | Adirondack Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1487183174 PECOS PAC ID: 9638081284 Enrollment ID: O20170823002656 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Paul Speicher, DO 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 729-8156 | Mark Paul Speicher, DO 33-57 Harrison St, Hospitalist Dept, Johnson City, NY 13790-2107 Ph: (607) 763-6622 |
Alexander Williams, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 | |
Dr. Abdul Muqeet Javed, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5064 | |
Michelle Maria Matheson, PA Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 | |
Carolyn Diane Crispell, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5064 | |
Dr. Muhammad Junaid Niaz, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6000 | |
Irfan Khan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-778-3938 Fax: 607-778-2873 |