Susquehanna Physician Services | |
700 High Street Williamsport PA 17701-3198 | |
(570) 321-2619 | |
(570) 321-2670 |
Full Name | Susquehanna Physician Services |
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Speciality | Physical Medicine & Rehabilitation |
Location | 700 High Street, Williamsport, Pennsylvania |
Authorized Official Name and Position | Melissa Davis (VP/COO) |
Authorized Official Contact | 5703207696 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Susquehanna Physician Services 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Physician Services 700 High Street Williamsport PA 17701-3198 Ph: (570) 321-2619 |
NPI Number | 1629006606 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 10/20/2015 |
Medicare PECOS PAC ID | 2264336460 |
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Medicare Enrollment ID | O20040702000607 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629006606 | NPI | - | NPPES |
784867 | Other | PA | HIGHMARK BLUE SHIELD |
0017300760184 | Medicaid | PA |
Provider Name | James A Dematteis |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1821093469 PECOS PAC ID: 9133012917 Enrollment ID: I20040209000270 |
Provider Name | Richard Edward Dowell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134149271 PECOS PAC ID: 3173411386 Enrollment ID: I20040309000850 |
Provider Name | Stuart M Olinsky |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1366431827 PECOS PAC ID: 4486673241 Enrollment ID: I20051122000295 |
Provider Name | Avinash Aggarwal |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1689655581 PECOS PAC ID: 7911912829 Enrollment ID: I20060214000593 |
Provider Name | Janet Waters |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1710101886 PECOS PAC ID: 6608974258 Enrollment ID: I20070712000068 |
Provider Name | Shawn D Safford |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1245227628 PECOS PAC ID: 0547360703 Enrollment ID: I20070717000558 |
Provider Name | Kerstin Bettermann |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1174509251 PECOS PAC ID: 9335236694 Enrollment ID: I20071102000247 |
Provider Name | Kelly A Kay |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1053545061 PECOS PAC ID: 8224189097 Enrollment ID: I20090708000221 |
Provider Name | Maxim D Hammer |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1902879869 PECOS PAC ID: 8628106374 Enrollment ID: I20100517000739 |
Provider Name | Lawrence R Wechsler |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1942276399 PECOS PAC ID: 2264324219 Enrollment ID: I20100521000659 |
Provider Name | Neil Busis |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1407852999 PECOS PAC ID: 8123039351 Enrollment ID: I20110412000179 |
Provider Name | Jeffery W Williams |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1316018245 PECOS PAC ID: 8325060197 Enrollment ID: I20110502000375 |
Provider Name | Ashutosh P. Jadhav |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1972708527 PECOS PAC ID: 8022264233 Enrollment ID: I20120803000232 |
Provider Name | Matthew T Starr |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1831355106 PECOS PAC ID: 2466609193 Enrollment ID: I20130424000655 |
Provider Name | Scott Andrew Mathias |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629286034 PECOS PAC ID: 2466503644 Enrollment ID: I20130708000007 |
Provider Name | Melissa J Michaluk |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1164565776 PECOS PAC ID: 9830214550 Enrollment ID: I20130730000357 |
Provider Name | Vincent J Miele |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1538364914 PECOS PAC ID: 4284722257 Enrollment ID: I20140127000351 |
Provider Name | Bryan Bolinger |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1609149871 PECOS PAC ID: 7810113693 Enrollment ID: I20140731001240 |
Provider Name | Jahan Hashem |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1255659207 PECOS PAC ID: 5597907006 Enrollment ID: I20141027001742 |
Provider Name | Chun Ho |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1568752673 PECOS PAC ID: 7618281551 Enrollment ID: I20150805007735 |
Provider Name | Marcelo Rocha |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1861712333 PECOS PAC ID: 6204097330 Enrollment ID: I20150923002915 |
Provider Name | Wenzhuan He |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1457665648 PECOS PAC ID: 6305138017 Enrollment ID: I20160715001117 |
Provider Name | Cynthia L Kenmuir |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1598055493 PECOS PAC ID: 8729371315 Enrollment ID: I20160719002219 |
Provider Name | John A Braca |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1144489642 PECOS PAC ID: 4981829769 Enrollment ID: I20160825000605 |
Provider Name | Katherine Anetakis |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1841585882 PECOS PAC ID: 6901176015 Enrollment ID: I20170724000742 |
Provider Name | Holly Shadle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235631490 PECOS PAC ID: 7113289216 Enrollment ID: I20180402000118 |
Provider Name | Keith Gonzalez |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1518981281 PECOS PAC ID: 9739183161 Enrollment ID: I20180417000459 |
Provider Name | Riddhi Patira |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1760822183 PECOS PAC ID: 6305192352 Enrollment ID: I20180703003185 |
Provider Name | Lori Koltenuk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548748106 PECOS PAC ID: 6103178306 Enrollment ID: I20181017001218 |
Provider Name | Adrienne Marie Mccallister |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1316372667 PECOS PAC ID: 1850689654 Enrollment ID: I20181109000730 |
Provider Name | Weizhen Wang |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1881960730 PECOS PAC ID: 0547542508 Enrollment ID: I20190318000487 |
Provider Name | Meghana M. Gaekwad |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1538574363 PECOS PAC ID: 8022306224 Enrollment ID: I20190619001501 |
Provider Name | Edwin Hoffman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689229452 PECOS PAC ID: 7214266758 Enrollment ID: I20190910000597 |
Provider Name | Darshan Lal |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1962805390 PECOS PAC ID: 0749511186 Enrollment ID: I20191016000230 |
Provider Name | Mark V Larkins |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1740230317 PECOS PAC ID: 3072565175 Enrollment ID: I20191126003185 |
Provider Name | Fadi Bader Sweiss |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1124462999 PECOS PAC ID: 5991095176 Enrollment ID: I20200721004430 |
Provider Name | Mausaminben Y Hathidara |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1487036265 PECOS PAC ID: 1658797790 Enrollment ID: I20200819002499 |
Provider Name | Varun Shandal |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1225391279 PECOS PAC ID: 1052683232 Enrollment ID: I20200826002157 |
Provider Name | Whitney Strosser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124611264 PECOS PAC ID: 3476969536 Enrollment ID: I20210316000086 |
Provider Name | Michael M Mcdowell |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1750725446 PECOS PAC ID: 7810396025 Enrollment ID: I20210520000528 |
Provider Name | Daniel Hafez |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1134534621 PECOS PAC ID: 6709006018 Enrollment ID: I20210527001029 |
Provider Name | Judy Dawod |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1568842961 PECOS PAC ID: 8527323773 Enrollment ID: I20210609000424 |
Provider Name | Rebecca Pollard |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1528422078 PECOS PAC ID: 7315230802 Enrollment ID: I20210629003466 |
Provider Name | Elissa K Ortolani |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1881012631 PECOS PAC ID: 6709208051 Enrollment ID: I20210813001601 |
Provider Name | Lucas Charles Mariano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003562935 PECOS PAC ID: 3678968013 Enrollment ID: I20220321002464 |
Provider Name | Mohamed Shehab Eldin |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376920736 PECOS PAC ID: 0840598025 Enrollment ID: I20220514000102 |
Provider Name | Lisa Anne Mondell |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1205243201 PECOS PAC ID: 4688052863 Enrollment ID: I20220531000746 |
Provider Name | Desmond A Brown |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1689080533 PECOS PAC ID: 3779700489 Enrollment ID: I20220602002737 |
Provider Name | Neil Suryadevara |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1790217370 PECOS PAC ID: 4284971813 Enrollment ID: I20220610000362 |
Provider Name | Leah Ann Bowlin |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1518455161 PECOS PAC ID: 3577942663 Enrollment ID: I20220901000264 |
Provider Name | Gaurav Pradeep Dighe |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1699115097 PECOS PAC ID: 8022323435 Enrollment ID: I20220921000019 |
Provider Name | Robert Edward Lieberson |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1598863326 PECOS PAC ID: 6002992963 Enrollment ID: I20221102001875 |
Provider Name | Robert Michael Beatty |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1447264122 PECOS PAC ID: 0941254445 Enrollment ID: I20230217000084 |
Provider Name | Vinayak Narayan |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1366933301 PECOS PAC ID: 5294088969 Enrollment ID: I20230711000792 |
Provider Name | Victor Ck Tse |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1871629717 PECOS PAC ID: 1052416435 Enrollment ID: I20231115002841 |
Provider Name | Jeremy Ryan Steffine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952166191 PECOS PAC ID: 6800233297 Enrollment ID: I20240320004033 |
Provider Name | Nancy A Abu-bonsrah |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1356763387 PECOS PAC ID: 9638447188 Enrollment ID: I20240924000795 |
Provider Name | Arshia Sean Etesam |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1427411172 PECOS PAC ID: 1951711589 Enrollment ID: I20241121002170 |
Provider Name | Ellia Ciammaichella |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1669821260 PECOS PAC ID: 8921435777 Enrollment ID: I20241202000030 |
Provider Name | Andrea Marie Sann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124842653 PECOS PAC ID: 0840725651 Enrollment ID: I20241203000042 |
Provider Name | Najah Simone Waters |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1629331426 PECOS PAC ID: 8921255852 Enrollment ID: I20250109000233 |
Gillum Psychological & Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Washington Boulevard, Suite 100, Williamsport, PA 17701 Phone: 570-321-6390 Fax: 570-321-6393 | |
Lawrence M Satifka Ma Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Pine St Ste 400, Williamsport, PA 17701 Phone: 570-772-3090 Fax: 570-300-2371 | |
Diakon Child, Family & Community Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Williamsport Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Market St, Williamsport, PA 17701 Phone: 570-322-2603 Fax: 570-322-4208 | |
Diakon Child,family&community Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Loyalsock Dr, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Susquehanna Physician Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 740 High St, Suite 4001, Williamsport, PA 17701 Phone: 570-321-2345 Fax: 570-321-2359 | |
Merakey Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Academy St, Williamsport, PA 17701 Phone: 215-836-3131 Fax: 215-836-1802 |