| Susquehanna Physician Services | |
|
700 High Street Williamsport PA 17701-3198 | |
| (570) 321-2181 | |
| (570) 321-2182 |
| Full Name | Susquehanna Physician Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 High Street, Williamsport, 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 Physician Services 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Physician Services 700 High Street Williamsport PA 17701-3198 Ph: (570) 321-2181 |
| NPI Number | 1255363354 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 10/20/2015 |
| Medicare PECOS PAC ID | 2264336460 |
|---|---|
| Medicare Enrollment ID | O20040702000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255363354 | NPI | - | NPPES |
| 880746 | Other | PA | HIGHMARK BLUE SHIELD |
| 0017300760156 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Roman Alfred Tuma |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134129612 PECOS PAC ID: 2769450097 Enrollment ID: I20040923000628 |
| Provider Name | Christian O Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881985695 PECOS PAC ID: 5193027704 Enrollment ID: I20161021000577 |
| Provider Name | Alex Marshal Trzebucki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114269594 PECOS PAC ID: 9739471533 Enrollment ID: I20200709000017 |
| Provider Name | Curran Steven Perry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386105393 PECOS PAC ID: 6608103502 Enrollment ID: I20240906000906 |
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