| Mr Paul Hodgeman, RPAC | |
|
30 Harrison St, Suite 460, Johnson City, NY 13790-2161 | |
| (607) 763-8101 | |
| (607) 763-8049 |
| Full Name | Mr Paul Hodgeman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 30 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 |
|---|---|---|---|
| 1588734024 | NPI | - | NPPES |
| 01965613 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 006485 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Chenango Memorial Hospital | Norwich, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mobile Physician Services Pllc | 8325360290 | 104 |
| Entity Name | Our Lady of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Entity Name | New York General Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
| Entity Name | NV Pacs 2 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210831002021 |
| Entity Name | Care Connect Medical P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457032328 PECOS PAC ID: 0749641736 Enrollment ID: O20230808000676 |
| Entity Name | Partners Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184305153 PECOS PAC ID: 5092155937 Enrollment ID: O20240425003145 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Hodgeman, RPAC 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 763-8101 | Mr Paul Hodgeman, RPAC 30 Harrison St, Suite 460, Johnson City, NY 13790-2161 Ph: (607) 763-8101 |
Camryn Perri, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 |
Mrs. Mary L Barr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 41 Arch Street, Johnson City, NY 13790 Phone: 607-729-2121 Fax: 607-798-7751 |
Mr. Justin Michael Eisenhauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 |
Nicholas John Tarnowski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 |
Katherine M Nichols, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-5494 Fax: 607-763-5116 |
Mr. Timothy D Keyes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790 Phone: 607-763-6580 |
Danielle Tchir Kappel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 |