Susquehanna Physician Services - Medicare Mental Health Clinic in Williamsport, PA

Susquehanna Physician Services is a medicare enrolled mental health clinic (Physical Medicine & Rehabilitation) in Williamsport, Pennsylvania. The current practice location for Susquehanna Physician Services is 700 High Street, Williamsport, Pennsylvania. For appointments, you can reach them via phone at (570) 321-2619. The mailing address for Susquehanna Physician Services is 1201 Grampian Blvd, Williamsport, Pennsylvania and phone number is () -.

Susquehanna Physician Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629006606. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (570) 321-2619.

Contact Information

Susquehanna Physician Services
700 High Street
Williamsport
PA 17701-3198
(570) 321-2619
(570) 321-2670

Map and Direction


Mental Health Clinic Profile

Full NameSusquehanna Physician Services
SpecialityPhysical Medicine & Rehabilitation
Location700 High Street, Williamsport, Pennsylvania
Authorized Official Name and PositionMelissa Davis (VP/COO)
Authorized Official Contact5703207696
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
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 Details:

NPI Number1629006606
Provider Enumeration Date06/29/2006
Last Update Date10/20/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2264336460
Medicare Enrollment IDO20040702000607

Medical Identifiers

Medical identifiers for Susquehanna Physician Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629006606NPI-NPPES
784867OtherPAHIGHMARK BLUE SHIELD
0017300760184MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Susquehanna Physician Services acts as a billing entity for following providers:
Provider NameJames A Dematteis
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1821093469
PECOS PAC ID: 9133012917
Enrollment ID: I20040209000270
Provider NameRichard Edward Dowell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1134149271
PECOS PAC ID: 3173411386
Enrollment ID: I20040309000850
Provider NameStuart M Olinsky
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1366431827
PECOS PAC ID: 4486673241
Enrollment ID: I20051122000295
Provider NameAvinash Aggarwal
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1689655581
PECOS PAC ID: 7911912829
Enrollment ID: I20060214000593
Provider NameJanet Waters
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1710101886
PECOS PAC ID: 6608974258
Enrollment ID: I20070712000068
Provider NameShawn D Safford
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1245227628
PECOS PAC ID: 0547360703
Enrollment ID: I20070717000558
Provider NameKerstin Bettermann
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1174509251
PECOS PAC ID: 9335236694
Enrollment ID: I20071102000247
Provider NameKelly A Kay
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1053545061
PECOS PAC ID: 8224189097
Enrollment ID: I20090708000221
Provider NameMaxim D Hammer
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1902879869
PECOS PAC ID: 8628106374
Enrollment ID: I20100517000739
Provider NameLawrence R Wechsler
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1942276399
PECOS PAC ID: 2264324219
Enrollment ID: I20100521000659
Provider NameNeil Busis
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1407852999
PECOS PAC ID: 8123039351
Enrollment ID: I20110412000179
Provider NameJeffery W Williams
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1316018245
PECOS PAC ID: 8325060197
Enrollment ID: I20110502000375
Provider NameAshutosh P. Jadhav
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1972708527
PECOS PAC ID: 8022264233
Enrollment ID: I20120803000232
Provider NameMatthew T Starr
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1831355106
PECOS PAC ID: 2466609193
Enrollment ID: I20130424000655
Provider NameScott Andrew Mathias
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629286034
PECOS PAC ID: 2466503644
Enrollment ID: I20130708000007
Provider NameMelissa J Michaluk
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1164565776
PECOS PAC ID: 9830214550
Enrollment ID: I20130730000357
Provider NameVincent J Miele
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1538364914
PECOS PAC ID: 4284722257
Enrollment ID: I20140127000351
Provider NameBryan Bolinger
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1609149871
PECOS PAC ID: 7810113693
Enrollment ID: I20140731001240
Provider NameJahan Hashem
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1255659207
PECOS PAC ID: 5597907006
Enrollment ID: I20141027001742
Provider NameChun Ho
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1568752673
PECOS PAC ID: 7618281551
Enrollment ID: I20150805007735
Provider NameMarcelo Rocha
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1861712333
PECOS PAC ID: 6204097330
Enrollment ID: I20150923002915
Provider NameWenzhuan He
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1457665648
PECOS PAC ID: 6305138017
Enrollment ID: I20160715001117
Provider NameCynthia L Kenmuir
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1598055493
PECOS PAC ID: 8729371315
Enrollment ID: I20160719002219
Provider NameJohn A Braca
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1144489642
PECOS PAC ID: 4981829769
Enrollment ID: I20160825000605
Provider NameKatherine Anetakis
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1841585882
PECOS PAC ID: 6901176015
Enrollment ID: I20170724000742
Provider NameHolly Shadle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235631490
PECOS PAC ID: 7113289216
Enrollment ID: I20180402000118
Provider NameKeith Gonzalez
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1518981281
PECOS PAC ID: 9739183161
Enrollment ID: I20180417000459
Provider NameRiddhi Patira
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1760822183
PECOS PAC ID: 6305192352
Enrollment ID: I20180703003185
Provider NameLori Koltenuk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548748106
PECOS PAC ID: 6103178306
Enrollment ID: I20181017001218
Provider NameAdrienne Marie Mccallister
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1316372667
PECOS PAC ID: 1850689654
Enrollment ID: I20181109000730
Provider NameWeizhen Wang
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1881960730
PECOS PAC ID: 0547542508
Enrollment ID: I20190318000487
Provider NameMeghana M. Gaekwad
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1538574363
PECOS PAC ID: 8022306224
Enrollment ID: I20190619001501
Provider NameEdwin Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689229452
PECOS PAC ID: 7214266758
Enrollment ID: I20190910000597
Provider NameDarshan Lal
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1962805390
PECOS PAC ID: 0749511186
Enrollment ID: I20191016000230
Provider NameMark V Larkins
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1740230317
PECOS PAC ID: 3072565175
Enrollment ID: I20191126003185
Provider NameFadi Bader Sweiss
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1124462999
PECOS PAC ID: 5991095176
Enrollment ID: I20200721004430
Provider NameMausaminben Y Hathidara
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1487036265
PECOS PAC ID: 1658797790
Enrollment ID: I20200819002499
Provider NameVarun Shandal
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1225391279
PECOS PAC ID: 1052683232
Enrollment ID: I20200826002157
Provider NameWhitney Strosser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124611264
PECOS PAC ID: 3476969536
Enrollment ID: I20210316000086
Provider NameMichael M Mcdowell
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1750725446
PECOS PAC ID: 7810396025
Enrollment ID: I20210520000528
Provider NameDaniel Hafez
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1134534621
PECOS PAC ID: 6709006018
Enrollment ID: I20210527001029
Provider NameJudy Dawod
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1568842961
PECOS PAC ID: 8527323773
Enrollment ID: I20210609000424
Provider NameRebecca Pollard
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1528422078
PECOS PAC ID: 7315230802
Enrollment ID: I20210629003466
Provider NameElissa K Ortolani
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1881012631
PECOS PAC ID: 6709208051
Enrollment ID: I20210813001601
Provider NameLucas Charles Mariano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003562935
PECOS PAC ID: 3678968013
Enrollment ID: I20220321002464
Provider NameMohamed Shehab Eldin
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1376920736
PECOS PAC ID: 0840598025
Enrollment ID: I20220514000102
Provider NameLisa Anne Mondell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1205243201
PECOS PAC ID: 4688052863
Enrollment ID: I20220531000746
Provider NameDesmond A Brown
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1689080533
PECOS PAC ID: 3779700489
Enrollment ID: I20220602002737
Provider NameNeil Suryadevara
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1790217370
PECOS PAC ID: 4284971813
Enrollment ID: I20220610000362
Provider NameLeah Ann Bowlin
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1518455161
PECOS PAC ID: 3577942663
Enrollment ID: I20220901000264
Provider NameGaurav Pradeep Dighe
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1699115097
PECOS PAC ID: 8022323435
Enrollment ID: I20220921000019
Provider NameRobert Edward Lieberson
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1598863326
PECOS PAC ID: 6002992963
Enrollment ID: I20221102001875
Provider NameRobert Michael Beatty
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1447264122
PECOS PAC ID: 0941254445
Enrollment ID: I20230217000084
Provider NameVinayak Narayan
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1366933301
PECOS PAC ID: 5294088969
Enrollment ID: I20230711000792
Provider NameVictor Ck Tse
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1871629717
PECOS PAC ID: 1052416435
Enrollment ID: I20231115002841
Provider NameJeremy Ryan Steffine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952166191
PECOS PAC ID: 6800233297
Enrollment ID: I20240320004033
Provider NameNancy A Abu-bonsrah
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1356763387
PECOS PAC ID: 9638447188
Enrollment ID: I20240924000795
Provider NameArshia Sean Etesam
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1427411172
PECOS PAC ID: 1951711589
Enrollment ID: I20241121002170
Provider NameEllia Ciammaichella
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1669821260
PECOS PAC ID: 8921435777
Enrollment ID: I20241202000030
Provider NameAndrea Marie Sann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124842653
PECOS PAC ID: 0840725651
Enrollment ID: I20241203000042
Provider NameNajah Simone Waters
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1629331426
PECOS PAC ID: 8921255852
Enrollment ID: I20250109000233

Reviews and Comments

Physical Medicine & Rehabilitation in Williamsport, PA

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.