| Mr Maurice Tom Pack, MD | |
|
830 Washington St, Watertown, NY 13601-4099 | |
| (315) 785-4000 | |
| Not Available |
| Full Name | Mr Maurice Tom Pack |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 23 Years |
| Location | 830 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 |
|---|---|---|---|
| 1568847523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 311508 (New York) | Secondary |
| 207X00000X | Orthopaedic Surgery | ME125344 (Florida) | 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 |
|---|---|---|
| Samaritan Medical Practice Pc | 5698853133 | 24 |
| Entity Name | Samaritan Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124202619 PECOS PAC ID: 5698853133 Enrollment ID: O20080423000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Maurice Tom Pack, MD 830 Washington St, Watertown, NY 13601-4099 Ph: (315) 785-4000 | Mr Maurice Tom Pack, MD 830 Washington St, Watertown, NY 13601-4099 Ph: (315) 785-4000 |
Dr. Steven B Fish, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1571 Washington St, Suite 201, Watertown, NY 13601 Phone: 315-782-1650 Fax: 315-788-8547 | |
Dr. David O Vaneenenaam, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1571 Washington St, Suite 201, Watertown, NY 13601 Phone: 315-782-1650 Fax: 315-788-8547 | |
Dr. D. Peter Vaneenenaam, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1571 Washington St, Suite 201, Watertown, NY 13601 Phone: 315-782-1650 Fax: 315-788-8547 | |
Dr. Scott William Niel Mollison, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22567 Summit Dr Bldg 2, Watertown, NY 13601 Phone: 315-779-6784 Fax: 315-779-6799 | |
Dr. Edward Choung, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1571 Washington St, Suite 201, Watertown, NY 13601 Phone: 315-782-1650 | |
Dr. Richard L Withington, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1571 Washington St, Suite 201, Watertown, NY 13601 Phone: 315-782-1650 Fax: 315-788-8547 | |
Dr. Edward N Powell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1571 Washington St, Suite 201, Watertown, NY 13601 Phone: 315-782-1650 Fax: 315-788-8547 |