| Susan C Anderson, PA | |
|
2352 State Route 26, Endicott, NY 13760-6418 | |
| (607) 862-4325 | |
| (607) 862-9006 |
| Full Name | Susan C Anderson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2352 State Route 26, Endicott, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548283013 | NPI | - | NPPES |
| 02923944 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 010647 (New York) | Primary |
| Entity Name | United Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
| Entity Name | United Health Services Hospitals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan C Anderson, PA 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 862-4325 | Susan C Anderson, PA 2352 State Route 26, Endicott, NY 13760-6418 Ph: (607) 862-4325 |
Mrs. Gina M Callahan, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1302 E Main St, Endicott, NY 13760 Phone: 607-754-2323 Fax: 607-754-3033 |
Ms. Judy A. Andrews, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1302 E Main St, Endicott, NY 13760 Phone: 607-754-7171 Fax: 607-754-0290 |
Shiloh Whitman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1302 E Main St Fl 2, Endicott, NY 13760 Phone: 607-754-2323 |
Maureen A Giangrieco, RPA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1302 E Main St, Endicott, NY 13760 Phone: 607-754-7171 Fax: 607-754-0290 |
Frederick Mocniak, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 204 Glenbrook Ct, Endicott, NY 13760 Phone: 607-321-4065 |
Miss Kristin Joy Isenberg, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 415 E Main St, Endicott, NY 13760 Phone: 607-786-1801 |
Kacy L Zelesnikar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 415 E Main St, Endicott, NY 13760 Phone: 607-785-2460 Fax: 607-785-2584 |