| John H Susz, DPM | |
|
1 Timberview Ln, Russell, PA 16345-4149 | |
| (814) 757-8204 | |
| (814) 757-7785 |
| Full Name | John H Susz |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 24 Years |
| Location | 1 Timberview Ln, Russell, Pennsylvania |
| 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 |
|---|---|---|---|
| 1790736734 | NPI | - | NPPES |
| 102278875 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | SC005569 (Pennsylvania) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 000629-01 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willcare Chha (buffalo) | Buffalo, NY | Home health agency |
| Warren General Hospital | Warren, PA | Hospital |
| Warren General Hospital | Warren, PA | Hospital |
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| John H Susz Dpm, Pc | 0345398723 | 2 |
| John H Susz Dpm, Pc | 0345398723 | 2 |
| Provider Name | Pennsylvania Department of Human Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790768471 PECOS PAC ID: 0547168064 Enrollment ID: O20041207000650 |
| Provider Name | John H Susz DPM, PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073754388 PECOS PAC ID: 0345398723 Enrollment ID: O20090423000687 |
| Mailing Address | Practice Location Address |
|---|---|
| John H Susz, DPM 514 Springside Dr, Warren, PA 16365-5301 Ph: (814) 331-2583 | John H Susz, DPM 1 Timberview Ln, Russell, PA 16345-4149 Ph: (814) 757-8204 |
John H Susz Dpm, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1 Timberview Ln, Russell, PA 16345 Phone: 814-757-8204 Fax: 814-757-7785 |