| Susquehanna Health Medical Group | |
|
900 Plaza Dr Montoursville PA 17754-2448 | |
| (570) 368-8621 | |
| Not Available |
| Full Name | Susquehanna Health Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Plaza Dr, Montoursville, 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 Health Medical Group 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Health Medical Group 900 Plaza Dr Montoursville PA 17754-2448 Ph: (570) 368-8621 |
| NPI Number | 1023065885 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 10/20/2015 |
| Medicare PECOS PAC ID | 2264336460 |
|---|---|
| Medicare Enrollment ID | O20040415000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023065885 | NPI | - | NPPES |
| 887917 | Other | PA | HIGHMARK BLUE SHIELD |
| 0017300760178 | Medicaid | PA |
| Provider Name | Michael Joseph Weisner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114966850 PECOS PAC ID: 4981507241 Enrollment ID: I20040202000758 |
| Provider Name | Robin M Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598940363 PECOS PAC ID: 4385537695 Enrollment ID: I20040202001092 |
| Provider Name | Ingrid F Donato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497745616 PECOS PAC ID: 7012903461 Enrollment ID: I20040422000122 |
| Provider Name | Donna Eileen Mullarkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376588426 PECOS PAC ID: 9133181472 Enrollment ID: I20090921000413 |
| Provider Name | John Arthur Pellegrino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932107596 PECOS PAC ID: 1557366457 Enrollment ID: I20110103000294 |
| Provider Name | Elizabeth Klucka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366705808 PECOS PAC ID: 1951547280 Enrollment ID: I20150901001227 |
| Provider Name | Steven A Barrows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104263169 PECOS PAC ID: 6709026651 Enrollment ID: I20160927000033 |
| Provider Name | Santisree Tanikella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710265467 PECOS PAC ID: 9436428034 Enrollment ID: I20170712002685 |
| Provider Name | Danielle M Mcgovern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740713635 PECOS PAC ID: 5597039321 Enrollment ID: I20200709001899 |
| Provider Name | Brittney Michael Welshans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679226120 PECOS PAC ID: 1052707684 Enrollment ID: I20220408000037 |
| Provider Name | Sunkesula K Sagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588125975 PECOS PAC ID: 4880929371 Enrollment ID: I20220831003315 |
| Provider Name | Nicholas J Gorski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609339167 PECOS PAC ID: 9537492814 Enrollment ID: I20220907000874 |
| Provider Name | Deanna Kay Bump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972225563 PECOS PAC ID: 9133598782 Enrollment ID: I20221203000574 |
| Provider Name | Amber Lynn Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053020933 PECOS PAC ID: 7012387400 Enrollment ID: I20221229000565 |
| Provider Name | Amy Caroline Sudol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811450604 PECOS PAC ID: 2264803535 Enrollment ID: I20230124002241 |
| Provider Name | Elizabeth Marie Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790482479 PECOS PAC ID: 2365816428 Enrollment ID: I20230314000114 |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Choate Cir, Montoursville, PA 17754 Phone: 570-368-5566 Fax: 570-368-5564 | |
Montoursville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Broad St, Montoursville, PA 17754 Phone: 814-364-2161 | |
Susquehanna Gastroenterology Associates, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Choate Circle, Montoursville, PA 17754 Phone: 570-368-5566 Fax: 570-368-5564 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 Broad St, Montoursville, PA 17754 Phone: 570-368-4466 | |
Sps-wagner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Broad St, Montoursville, PA 17754 Phone: 570-368-2235 Fax: 570-368-3932 | |
Gmg Lycoming Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 Broad St, Montoursville, PA 17754 Phone: 570-368-2870 Fax: 570-368-4463 |