| Shane Keogh, MD | |
|
33-57 Harrison St, Johnson City, NY 13790-2107 | |
| (607) 763-6674 | |
| (607) 798-1629 |
| Full Name | Shane Keogh |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 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 |
|---|---|---|---|
| 1114314937 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fulton County Medical Center | Mcconnellsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Imaging Services Llc | 9739087214 | 17 |
| Fulton Diagnostic Radiology Llc | 5991853806 | 11 |
| Entity Name | Associated Radiologists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932164613 PECOS PAC ID: 8820992274 Enrollment ID: O20031126000293 |
| Entity Name | Diagnostic Imaging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114982808 PECOS PAC ID: 9739087214 Enrollment ID: O20031222000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Keogh, MD 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 763-6674 | Shane Keogh, MD 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6674 |
Dr. Vincent Montone, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6104 | |
Dr. Razvan Florin Buciuc, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 400, Johnson City, NY 13790 Phone: 607-763-8008 Fax: 607-763-8019 | |
Louis Muscarella, Radiology Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Picciano 4, Johnson City, NY 13790 Phone: 607-763-6674 Fax: 607-798-1629 | |
Salman Zafar, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 32-36 Harrison St, Johnson City, NY 13790 Phone: 607-729-1999 | |
Dr. Francis Mangiacapra, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6104 | |
Dr. Sun H Liauw, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 22 Harrison St, Johnson City, NY 13790 Phone: 315-268-9314 Fax: 315-268-9255 |