| Michael Lee, | |
|
33-57 Harrison St, Johnson City, NY 13790-2107 | |
| (607) 763-6000 | |
| Not Available |
| Full Name | Michael Lee |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 33-57 Harrison 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 |
|---|---|---|---|
| 1609820901 | NPI | - | NPPES |
| 44845 | Other | FL | BLUE CROSS BLUE SHIELD |
| 5978691 | Other | FL | AETNA |
| 256928100 | Medicaid | FL |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Dubois Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992802391 PECOS PAC ID: 5890689715 Enrollment ID: O20050411000464 |
| Entity Name | Lock Haven Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710201322 PECOS PAC ID: 0547394447 Enrollment ID: O20100813000754 |
| Entity Name | Pennsylvania Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lee, 6896 W Snowville Rd, Brecksville, OH 44141-3214 Ph: () - | Michael Lee, 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6000 |
John Peter Zevan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6611 Fax: 607-763-6411 | |
Dr. Shae Lynn Bolander, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 | |
Theodore M Petkov, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 | |
Abdullah Faiq, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Teresa A Sacco, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5854 | |
Dr. Christian Elijah Rosado, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Mustafa Ali Khan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 |