| Susquehanna Physician Services | |
|
1100 Grampian Blvd Williamsport PA 17701-1909 | |
| (570) 320-7525 | |
| (570) 320-7484 |
| Full Name | Susquehanna Physician Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1100 Grampian Blvd, 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 |
|---|---|
| Susquehanna Physician Services 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Physician Services 1100 Grampian Blvd Williamsport PA 17701-1909 Ph: (570) 320-7525 |
| NPI Number | 1831132927 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 12/04/2017 |
| Medicare PECOS PAC ID | 2264336460 |
|---|---|
| Medicare Enrollment ID | O20040503000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831132927 | NPI | - | NPPES |
| 0017300760154 | Medicaid | PA | |
| 424132 | Other | PA | HIGHMARK BLUE SHIELD |
| Provider Name | Richard Edward Dowell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134149271 PECOS PAC ID: 3173411386 Enrollment ID: I20040309000850 |
| Provider Name | Lisa Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952300568 PECOS PAC ID: 8123919131 Enrollment ID: I20040322000132 |
| Provider Name | Luke Adam Stefanile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558338897 PECOS PAC ID: 3678567765 Enrollment ID: I20040412001405 |
| Provider Name | Kenneth C Nash |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265406961 PECOS PAC ID: 4880629948 Enrollment ID: I20050928000510 |
| Provider Name | James E Manning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245270180 PECOS PAC ID: 3971596040 Enrollment ID: I20070625000616 |
| Provider Name | Keith Stowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457365249 PECOS PAC ID: 8022181007 Enrollment ID: I20080724000167 |
| Provider Name | Hader A Mansour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598098170 PECOS PAC ID: 4880734557 Enrollment ID: I20091211000045 |
| Provider Name | Teresa Irene Bianco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881655942 PECOS PAC ID: 2769517655 Enrollment ID: I20100317000580 |
| Provider Name | Priya R Gopalan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073712956 PECOS PAC ID: 3375720196 Enrollment ID: I20110603000452 |
| Provider Name | John William Kasckow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508879842 PECOS PAC ID: 4486544640 Enrollment ID: I20120507000283 |
| Provider Name | Lynette Turay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861507923 PECOS PAC ID: 2668642398 Enrollment ID: I20120530000299 |
| Provider Name | Yung-tai Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508137514 PECOS PAC ID: 4284881533 Enrollment ID: I20120822000169 |
| Provider Name | David J Yankura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235393257 PECOS PAC ID: 5597914143 Enrollment ID: I20120926000047 |
| Provider Name | Andrei T Nemoianu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063614238 PECOS PAC ID: 1759527427 Enrollment ID: I20131220001737 |
| Provider Name | Wanda Louise Hartman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619131257 PECOS PAC ID: 8820221807 Enrollment ID: I20140428000851 |
| Provider Name | Chijioke Nnanna Egbujo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164601548 PECOS PAC ID: 9830484005 Enrollment ID: I20160826001276 |
| Provider Name | Ali Nelson Canton Vafabakhsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578857595 PECOS PAC ID: 8628210754 Enrollment ID: I20161028000866 |
| Provider Name | Heather Anne Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275024937 PECOS PAC ID: 9335404797 Enrollment ID: I20180606000442 |
| Provider Name | Kashif Nadeem Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760682025 PECOS PAC ID: 0941486500 Enrollment ID: I20190123003922 |
| Provider Name | Stephanie Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881157618 PECOS PAC ID: 8325381684 Enrollment ID: I20190530001028 |
| Provider Name | Sarah Mclaughlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780070029 PECOS PAC ID: 2466756713 Enrollment ID: I20190604001446 |
| Provider Name | Jacquelyn Zielewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598399610 PECOS PAC ID: 8628408754 Enrollment ID: I20200414000003 |
| Provider Name | Claudia J Chapa Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679966766 PECOS PAC ID: 1850625369 Enrollment ID: I20200629002825 |
| Provider Name | Maryjane Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942636972 PECOS PAC ID: 5597036350 Enrollment ID: I20210330000057 |
| Provider Name | Jessica Lynne Morel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356605646 PECOS PAC ID: 2365786100 Enrollment ID: I20210518003064 |
| Provider Name | Luke D Piper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265966436 PECOS PAC ID: 3779841598 Enrollment ID: I20210630000859 |
| Provider Name | Melanie S Haddox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609840099 PECOS PAC ID: 6406899822 Enrollment ID: I20220308002467 |
| Provider Name | Sagar Naresh Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033652672 PECOS PAC ID: 7214272434 Enrollment ID: I20220626000015 |
| Provider Name | Usman Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639533276 PECOS PAC ID: 0244658102 Enrollment ID: I20221014001590 |
| Provider Name | Kelly Goff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376935643 PECOS PAC ID: 7618330887 Enrollment ID: I20230906001121 |
| Provider Name | Lasandra Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558833871 PECOS PAC ID: 7315276508 Enrollment ID: I20231006002547 |
| Provider Name | Matthew Foster Geromi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831450139 PECOS PAC ID: 9234370453 Enrollment ID: I20231124000081 |
| Provider Name | Helen Marie Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114690500 PECOS PAC ID: 3577914274 Enrollment ID: I20240107000037 |
| Provider Name | Meaghan Elspeth Brought |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831783455 PECOS PAC ID: 8426409897 Enrollment ID: I20240110001768 |
| Provider Name | Kaitlin Marie Berger Ulsamer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184973547 PECOS PAC ID: 3971956186 Enrollment ID: I20240124001448 |
| Provider Name | Rachel A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467186569 PECOS PAC ID: 1456798982 Enrollment ID: I20240320001425 |
| Provider Name | Alyssa Elaine Amato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558817742 PECOS PAC ID: 1951834761 Enrollment ID: I20241101000297 |
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 |