| Michael Chisdak, MD | |
|
52 Harrison St, Johnson City, NY 13790-2120 | |
| (607) 729-8845 | |
| (607) 729-5574 |
| Full Name | Michael Chisdak |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 46 Years |
| Location | 52 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 |
|---|---|---|---|
| 1295735561 | NPI | - | NPPES |
| 00845607 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 168967 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Health Services Hospitals, Inc. | 5193610533 | 402 |
| 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 | Southern Tier Pulmonary & Critical Care Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841303070 PECOS PAC ID: 1153320122 Enrollment ID: O20061221000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Chisdak, MD 52 Harrison St, Johnson City, NY 13790-2120 Ph: (607) 729-8845 | Michael Chisdak, MD 52 Harrison St, Johnson City, NY 13790-2120 Ph: (607) 729-8845 |
Tasnima Ria Elahi, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 | |
Dr. Michail Vitellas, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St, Suite 250, Johnson City, NY 13790 Phone: 607-770-8600 | |
Galen Graham, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 601 Riverside Dr, Johnson City, NY 13790 Phone: 607-770-7365 Fax: 607-729-5882 | |
James J Vincens, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 Harrison St, Ste 250, Johnson City, NY 13790 Phone: 607-770-8600 Fax: 607-770-0853 | |
Parvez Jafri, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-6524 | |
Timothy Pak, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 | |
Naeem Ijaz, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 |