Susquehanna Physician Services - Medicare Primary Care in Williamsport, PA

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Susquehanna Physician Services is a medicare enrolled primary clinic (Internal Medicine - Endocrinology, Diabetes & Metabolism) 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) 320-7848. 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 1184652133. 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) 320-7848.

Contact Information

Susquehanna Physician Services
1100 Grampian Blvd
Williamsport
PA 17701-1909
(570) 320-7848
(570) 320-7856

Map and Direction


Primary Care Clinic Profile

Full NameSusquehanna Physician Services
SpecialityInternal 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) 320-7848

NPI Details:

NPI Number1184652133
Provider Enumeration Date06/29/2006
Last Update Date10/20/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2264336460
Medicare Enrollment IDO20040216000018

Medical Identifiers

Medical identifiers for Susquehanna Physician Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184652133NPI-NPPES
0017300760191MedicaidPA
880543OtherPAHIGHMARK BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (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 NameMaja Stefanovic Racic
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1245205285
PECOS PAC ID: 7012814296
Enrollment ID: I20031216000466
Provider NameFrederico G Toledo
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1598731895
PECOS PAC ID: 4688658917
Enrollment ID: I20040615000991
Provider NameErin Kershaw
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1346228228
PECOS PAC ID: 7214908276
Enrollment ID: I20090615000451
Provider NameJason M Ng
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1619135795
PECOS PAC ID: 8426197138
Enrollment ID: I20091209000070
Provider NameHelena E Levitt
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1699988493
PECOS PAC ID: 8325227044
Enrollment ID: I20110127000530
Provider NameDavid A Rometo
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1992921464
PECOS PAC ID: 1052599206
Enrollment ID: I20110617000315
Provider NameEsra Karslioglu French
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1093907305
PECOS PAC ID: 8820265341
Enrollment ID: I20120124000201
Provider NameHussain Mahmud
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1336333210
PECOS PAC ID: 5890951511
Enrollment ID: I20120725000425
Provider NameLauren A Willard
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1760610059
PECOS PAC ID: 7416171244
Enrollment ID: I20140617000791
Provider NameWynn Htun
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1053742452
PECOS PAC ID: 6406147420
Enrollment ID: I20160622002338
Provider NameElena M Morariu
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1972892990
PECOS PAC ID: 1951696798
Enrollment ID: I20160818001189
Provider NameYunjiao J Wang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891084299
PECOS PAC ID: 2365677044
Enrollment ID: I20160825000664
Provider NamePaul Jerome Custodio
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1093997280
PECOS PAC ID: 8123306164
Enrollment ID: I20161026002469
Provider NameSylvester Odeke
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1265426787
PECOS PAC ID: 9436281839
Enrollment ID: I20171117001672
Provider NameJagdeesh Ullal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932362399
PECOS PAC ID: 3476686510
Enrollment ID: I20171227000367
Provider NameVijay K Yechoor
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1568656551
PECOS PAC ID: 9133299688
Enrollment ID: I20180604002465
Provider NameSheba Asghar
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1780865758
PECOS PAC ID: 2567543150
Enrollment ID: I20180724003069
Provider NameEdgard I Gonzalez Feldman
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1477525202
PECOS PAC ID: 0345285557
Enrollment ID: I20181107000079
Provider NameAnn-marie Busick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518309814
PECOS PAC ID: 5597058297
Enrollment ID: I20181119000105
Provider NameScott A Segel
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1063416535
PECOS PAC ID: 7012803448
Enrollment ID: I20190521002903
Provider NameRobert J Cooper
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1992739726
PECOS PAC ID: 2961393723
Enrollment ID: I20190604003288
Provider NameTheresa Rose Hershberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760941355
PECOS PAC ID: 8527391580
Enrollment ID: I20190605002457
Provider NameDiana Pinkhasova
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1346668084
PECOS PAC ID: 3072819903
Enrollment ID: I20190625002450
Provider NameCharity Mooya Kwamanakweenda
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1144649302
PECOS PAC ID: 9638473960
Enrollment ID: I20190729001067
Provider NameAmanda Nichole Smithgall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689905622
PECOS PAC ID: 2264565753
Enrollment ID: I20191106001281
Provider NameMargaret F Zupa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972998623
PECOS PAC ID: 7416262647
Enrollment ID: I20200622001767

Reviews and Comments


Internal Medicine in Williamsport, PA

Divine Providence Hospital Of The Sisters Of Christian Charity
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 471 Hepburn St, Williamsport, PA 17701
Phone: 570-567-5400    Fax: 570-326-8601
Crossroads Counseling, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 501 East Third Street, Williamsport, PA 17701
Phone: 570-323-7535    Fax: 570-323-3790
White Deer Run Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 520 W 4th St, Williamsport, PA 17701
Phone: 570-322-4836    Fax: 570-322-4769
Susquehanna Physician Services
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701
Phone: 570-320-7691    Fax: 570-320-7898
Open Arms Internal Medicine & Pediatrics, Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701
Phone: 570-244-1877    
Samuel E Schrack, D.o., P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 520 W 4th St, Suite 1a, Williamsport, PA 17701
Phone: 570-327-9110    Fax: 570-327-1181

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.