Susquehanna Physician Services - Medicare Primary Care in Montoursville, PA

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Susquehanna Physician Services is a medicare enrolled primary clinic (Family Medicine) in Montoursville, Pennsylvania. The current practice location for Susquehanna Physician Services is 900 Plaza Dr, Montoursville, Pennsylvania. For appointments, you can reach them via phone at (570) 368-8621. 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 1023065885. 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) 368-8621.

Contact Information

Susquehanna Physician Services
900 Plaza Dr
Montoursville
PA 17754-2448
(570) 368-8621
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSusquehanna Physician Services
SpecialityFamily Medicine
Location900 Plaza Dr, Montoursville, 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
900 Plaza Dr
Montoursville
PA 17754-2448

Ph: (570) 368-8621

NPI Details:

NPI Number1023065885
Provider Enumeration Date05/27/2006
Last Update Date10/20/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2264336460
Medicare Enrollment IDO20040415000779

Medical Identifiers

Medical identifiers for Susquehanna Physician Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023065885NPI-NPPES
887917OtherPAHIGHMARK BLUE SHIELD
0017300760178MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

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 NameMichael Joseph Weisner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114966850
PECOS PAC ID: 4981507241
Enrollment ID: I20040202000758
Provider NameRobin M Spangler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598940363
PECOS PAC ID: 4385537695
Enrollment ID: I20040202001092
Provider NameIngrid F Donato
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497745616
PECOS PAC ID: 7012903461
Enrollment ID: I20040422000122
Provider NameDonna Eileen Mullarkey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376588426
PECOS PAC ID: 9133181472
Enrollment ID: I20090921000413
Provider NameMichelle L Cavanaugh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023082351
PECOS PAC ID: 6103011176
Enrollment ID: I20101116000831
Provider NameJohn Arthur Pellegrino
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932107596
PECOS PAC ID: 1557366457
Enrollment ID: I20110103000294
Provider NameMatthew Meeker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518288935
PECOS PAC ID: 8921246018
Enrollment ID: I20131004000007
Provider NameElizabeth Klucka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366705808
PECOS PAC ID: 1951547280
Enrollment ID: I20150901001227
Provider NameShelly Marie Conner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114301165
PECOS PAC ID: 3678863255
Enrollment ID: I20160610000073
Provider NameSteven A Barrows
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104263169
PECOS PAC ID: 6709026651
Enrollment ID: I20160927000033
Provider NameSantisree Tanikella
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710265467
PECOS PAC ID: 9436428034
Enrollment ID: I20170712002685
Provider NameDanielle M Mcgovern
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740713635
PECOS PAC ID: 5597039321
Enrollment ID: I20200709001899
Provider NameNakiasha Scheeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902424880
PECOS PAC ID: 7113344789
Enrollment ID: I20200827000983
Provider NameBrittney Michael Welshans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679226120
PECOS PAC ID: 1052707684
Enrollment ID: I20220408000037
Provider NameSunkesula K Sagar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588125975
PECOS PAC ID: 4880929371
Enrollment ID: I20220831003315
Provider NameNicholas J Gorski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609339167
PECOS PAC ID: 9537492814
Enrollment ID: I20220907000874
Provider NameDeanna Kay Bump
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972225563
PECOS PAC ID: 9133598782
Enrollment ID: I20221203000574
Provider NameAmber Lynn Wheeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053020933
PECOS PAC ID: 7012387400
Enrollment ID: I20221229000565
Provider NameAmy Caroline Sudol
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811450604
PECOS PAC ID: 2264803535
Enrollment ID: I20230124002241
Provider NameElizabeth Marie Le
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790482479
PECOS PAC ID: 2365816428
Enrollment ID: I20230314000114
Provider NameMichael Su
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639707326
PECOS PAC ID: 6103270517
Enrollment ID: I20231003002526
Provider NameDaniel F Schuler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861013682
PECOS PAC ID: 3274957238
Enrollment ID: I20231016003429
Provider NameJonathan William Seiferth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386224384
PECOS PAC ID: 7517369192
Enrollment ID: I20240910004944

Reviews and Comments


Family Medicine in Montoursville, PA

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Phone: 570-368-5566    Fax: 570-368-5564
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Practice Location: 241 Broad St, Montoursville, PA 17754
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Susquehanna Gastroenterology Associates, Ltd
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Medicare: Not Enrolled in Medicare
Practice Location: 10 Choate Circle, Montoursville, PA 17754
Phone: 570-368-5566    Fax: 570-368-5564
Susquehanna Physician Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 531 Broad St, Montoursville, PA 17754
Phone: 570-368-2235    Fax: 570-368-3932
Geisinger-hm Joint Venture, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 780 Broad St, Montoursville, PA 17754
Phone: 570-368-2870    Fax: 570-368-4463

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.