| Mark Wayne Hogge, MD | |
|
796 Fairmount Ave # We, Jamestown, NY 14701-2547 | |
| (716) 664-9731 | |
| (716) 664-9160 |
| Full Name | Mark Wayne Hogge |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 796 Fairmount Ave # We, Jamestown, 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 |
|---|---|---|---|
| 1942258967 | NPI | - | NPPES |
| 128608002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | J1461 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Williamsport Regional Medical Center | Williamsport, PA | Hospital |
| Upmc Susquehanna Muncy | Muncy, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Upmc Cole | Coudersport, PA | Hospital |
| Upmc Wellsboro | Wellsboro, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Susquehanna Imaging Associates, Inc. | 3870482409 | 7 |
| Entity Name | Susquehanna Imaging Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326069212 PECOS PAC ID: 3870482409 Enrollment ID: O20040312000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Wayne Hogge, MD Po Box 788, Jamestown, NY 14702-0788 Ph: (214) 926-8614 | Mark Wayne Hogge, MD 796 Fairmount Ave # We, Jamestown, NY 14701-2547 Ph: (716) 664-9731 |
Surjeet Pohar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 117 Foote Ave, Jamestown, NY 14701 Phone: 716-338-9500 Fax: 716-338-9550 | |
Peter J Nicholson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-664-9731 Fax: 716-664-9160 | |
Dr. Seth Henry Iverson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 796 Fairmont Avenue, Jamestown, NY 14702 Phone: 716-664-9731 Fax: 716-664-9160 | |
Mr. Thomas Lee Greer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Dr. Khanh Thi Nha Vu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 51 Glasgow Ave, Jamestown, NY 14701 Phone: 716-664-8670 Fax: 716-664-8672 | |
Mr. Ronald Dale Klizek, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St Ste 250, Jamestown, NY 14701 Phone: 716-664-9731 Fax: 716-664-9160 | |
Mr. Brian Declan Meagher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-421-0141 |