Susquehanna Physician Services - Medicare Primary Care in Williamsport, PA

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Susquehanna Physician Services is a medicare enrolled primary clinic (Family Medicine - Hospice And Palliative Medicine) in Williamsport, Pennsylvania. The current practice location for Susquehanna Physician Services is 1100 Grampian Blvd, Williamsport, Pennsylvania. For appointments, you can reach them via phone at (570) 320-7691. The mailing address for Susquehanna Physician Services is 1201 Grampian Blvd, Williamsport, Pennsylvania and phone number is () -.

Susquehanna Physician Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083655542. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (570) 320-7691.

Contact Information

Susquehanna Physician Services
1100 Grampian Blvd
Williamsport
PA 17701-1909
(570) 320-7691
(570) 320-7898

Map and Direction


Primary Care Clinic Profile

Full NameSusquehanna Physician Services
SpecialityFamily Medicine
Location1100 Grampian Blvd, Williamsport, Pennsylvania
Authorized Official Name and PositionMelissa Davis (VP/COO)
Authorized Official Contact5703207696
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susquehanna Physician Services
1201 Grampian Blvd
Williamsport
PA 17701-1900

Ph: () -		Susquehanna Physician Services
1100 Grampian Blvd
Williamsport
PA 17701-1909

Ph: (570) 320-7691

NPI Details:

NPI Number1083655542
Provider Enumeration Date06/08/2006
Last Update Date10/22/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2264336460
Medicare Enrollment IDO20060814000331

Medical Identifiers

Medical identifiers for Susquehanna Physician Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083655542NPI-NPPES
1860453OtherPAHIGHMARK BLUE SHIELD
0017300760179MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
364S00000XClinical Nurse Specialist (* (Not Available))Secondary
207QH0002XFamily Medicine - Hospice And Palliative Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Susquehanna Physician Services acts as a billing entity for following providers:
Provider NameLuke Adam Stefanile
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1558338897
PECOS PAC ID: 3678567765
Enrollment ID: I20040412001405
Provider NameWendy S Fetzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437250578
PECOS PAC ID: 1658367099
Enrollment ID: I20040422000041
Provider NameKarl M Ahlswede
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1033198676
PECOS PAC ID: 6608846779
Enrollment ID: I20040727000956
Provider NameAlexander R Nesbitt
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1285695411
PECOS PAC ID: 1658276274
Enrollment ID: I20050105000285
Provider NameRosemary A Wiegand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245239870
PECOS PAC ID: 5496804577
Enrollment ID: I20090520000171
Provider NameDonna Eileen Mullarkey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376588426
PECOS PAC ID: 9133181472
Enrollment ID: I20090921000413
Provider NameBharat G Adroja
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821070947
PECOS PAC ID: 4981591872
Enrollment ID: I20101109001039
Provider NameJill A Burns
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992790711
PECOS PAC ID: 4587615299
Enrollment ID: I20110830000717
Provider NameKimberly Ann Pish
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821225681
PECOS PAC ID: 6406003987
Enrollment ID: I20120906000379
Provider NameJennifer E Bayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902804339
PECOS PAC ID: 5092793000
Enrollment ID: I20121106000444
Provider NameBoris Goralnik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366776742
PECOS PAC ID: 6800070590
Enrollment ID: I20130819000637
Provider NameAmy B Adrian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508298316
PECOS PAC ID: 8426285727
Enrollment ID: I20131212000160
Provider NameJenna Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649567975
PECOS PAC ID: 6204072390
Enrollment ID: I20140902001861
Provider NameRosanne Mattiace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407262652
PECOS PAC ID: 2466673934
Enrollment ID: I20141027000606
Provider NameKrista Straniere
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497144125
PECOS PAC ID: 4082925391
Enrollment ID: I20150612000552
Provider NameLaura E Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326593963
PECOS PAC ID: 1759679053
Enrollment ID: I20161019000194
Provider NameSophia Meagan Johnson
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1467897595
PECOS PAC ID: 8527284066
Enrollment ID: I20161111001488
Provider NameMargaret S Frock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326593278
PECOS PAC ID: 1759661572
Enrollment ID: I20161213000346
Provider NameDanielle Renae Brannon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184073025
PECOS PAC ID: 3173810108
Enrollment ID: I20170615000209
Provider NameSandra Marie Ahlswede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871001669
PECOS PAC ID: 6103188131
Enrollment ID: I20180402001757
Provider NameLara Jaussi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124408471
PECOS PAC ID: 1850604042
Enrollment ID: I20180726000640
Provider NameFelicia Ann Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184108540
PECOS PAC ID: 7719230655
Enrollment ID: I20181023003201
Provider NameJodi Huling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902475064
PECOS PAC ID: 3870996374
Enrollment ID: I20210721002215
Provider NameViorica Valentin Velott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699300954
PECOS PAC ID: 5799188140
Enrollment ID: I20210723000186
Provider NameFnu Rahool
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851888531
PECOS PAC ID: 9436402112
Enrollment ID: I20220718000314
Provider NameAmber Lynn Wheeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053020933
PECOS PAC ID: 7012387400
Enrollment ID: I20221229000565
Provider NameMegan Elizabeth Saunders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639952864
PECOS PAC ID: 7113372038
Enrollment ID: I20231012003631
Provider NameEmily C Glackin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619742087
PECOS PAC ID: 8527417989
Enrollment ID: I20231211000849

Reviews and Comments


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Phone: 570-327-9110    Fax: 570-327-1181
Susquehanna Physician Services
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701
Phone: 570-320-7848    Fax: 570-320-7856

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.