| Susi Koshy, NP | |
|
5236 Longridge Rd, Jamesville, NY 13078-9730 | |
| (315) 446-5202 | |
| Not Available |
| Full Name | Susi Koshy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 5236 Longridge Rd, Jamesville, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790047041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F336807-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suny Health Science Center At Syracuse | 7214833086 | 170 |
| Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
| Entity Name | Suny Health Science Center At Syracuse |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184974529 PECOS PAC ID: 7214833086 Enrollment ID: O20031211000420 |
| Entity Name | Upstate Community Medical, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689620163 PECOS PAC ID: 0143238782 Enrollment ID: O20060323000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Susi Koshy, NP 5236 Longridge Rd, Jamesville, NY 13078-9730 Ph: () - | Susi Koshy, NP 5236 Longridge Rd, Jamesville, NY 13078-9730 Ph: (315) 446-5202 |
Sydney German, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6818 E Seneca Tpke, Jamesville, NY 13078 Phone: 315-481-6686 | |
Dianna L Lewis-brewster, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6081 E Seneca Tpke, Jamesville, NY 13078 Phone: 315-123-4567 |