Susquehanna Physician Services - Medicare Primary Care in Williamsport, PA

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Susquehanna Physician Services is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Williamsport, Pennsylvania. The current practice location for Susquehanna Physician Services is 700 High Street, Williamsport, Pennsylvania. For appointments, you can reach them via phone at (570) 321-3454. 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 1235366857. 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) 321-3454.

Contact Information

Susquehanna Physician Services
700 High Street
Williamsport
PA 17701-3198
(570) 321-3454
(570) 321-3455

Map and Direction


Primary Care Clinic Profile

Full NameSusquehanna Physician Services
SpecialityInternal Medicine
Location700 High Street, 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
700 High Street
Williamsport
PA 17701-3198

Ph: (570) 321-3454

NPI Details:

NPI Number1235366857
Provider Enumeration Date06/22/2009
Last Update Date10/23/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2264336460
Medicare Enrollment IDO20090909000479

Medical Identifiers

Medical identifiers for Susquehanna Physician Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235366857NPI-NPPES
2130352OtherPAHIGHMARK BLUE SHIELD
0017300760192MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary
363A00000XPhysician Assistant (* (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 NameJames J Boylan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538159546
PECOS PAC ID: 0446243927
Enrollment ID: I20040408000657
Provider NameEmily Theresa Suvock
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1750453239
PECOS PAC ID: 7618978735
Enrollment ID: I20070116000358
Provider NameAmit Sohagia
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447456306
PECOS PAC ID: 5395832216
Enrollment ID: I20071024000534
Provider NameStacy G Prall
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1437207685
PECOS PAC ID: 3173615069
Enrollment ID: I20100115000835
Provider NameDuane E Ahlbrandt
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1942289046
PECOS PAC ID: 0042284341
Enrollment ID: I20100513000873
Provider NameRichard Kenney
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1861448672
PECOS PAC ID: 5799747903
Enrollment ID: I20110523000416
Provider NameHeather J Gerst
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1114193299
PECOS PAC ID: 0244403939
Enrollment ID: I20111025000124
Provider NameSteven W Cohen
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1275608929
PECOS PAC ID: 4183880891
Enrollment ID: I20120725000300
Provider NameVivek Kumar
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1427190461
PECOS PAC ID: 8224285234
Enrollment ID: I20120827000668
Provider NamePuneet Basi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1730343120
PECOS PAC ID: 8820247240
Enrollment ID: I20120928000505
Provider NameNatasha Fontaine
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1598938177
PECOS PAC ID: 4789809484
Enrollment ID: I20180320001359
Provider NameAnna Maryalice Cooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295320075
PECOS PAC ID: 1254747785
Enrollment ID: I20210309001113
Provider NameLila G Glotfelty
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1790102002
PECOS PAC ID: 0042511321
Enrollment ID: I20211111001045
Provider NameAnn Joo Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396979126
PECOS PAC ID: 9739307638
Enrollment ID: I20211230001659
Provider NameBabatunde Olaiya
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1659895282
PECOS PAC ID: 8628312691
Enrollment ID: I20231019000781
Provider NameDavid Pinn
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1992048722
PECOS PAC ID: 2668712589
Enrollment ID: I20231108000032
Provider NameParesh M Sojitra
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1508251059
PECOS PAC ID: 2961754908
Enrollment ID: I20240829001623
Provider NameUrooj Ahmed
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1093354698
PECOS PAC ID: 0345204525
Enrollment ID: I20241015000676
Provider NameDavid Sachar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770644478
PECOS PAC ID: 0345373049
Enrollment ID: I20241113001987
Provider NameFahad Malik
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1184078404
PECOS PAC ID: 5294072294
Enrollment ID: I20250213002577

Reviews and Comments


Internal Medicine in Williamsport, PA

Susquehanna Physician Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1705 Warren Ave, Suite 303, Williamsport, PA 17701
Phone: 570-326-8500    Fax: 570-326-8049
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
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
Geisinger-hm Joint Venture, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1824 E 3rd St, Williamsport, PA 17701
Phone: 570-601-2200    Fax: 570-601-2202
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    
Susquehanna Physician Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 904 Campbell St, Suite 202, Williamsport, PA 17701
Phone: 570-321-2290    Fax: 570-321-2289

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.