Dr Mark William Connolly, MD | |
252 S 4th St, Lebanon, PA 17042-6111 | |
(717) 270-3751 | |
Not Available |
Full Name | Dr Mark William Connolly |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 43 Years |
Location | 252 S 4th St, Lebanon, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326010612 | NPI | - | NPPES |
060268 | Other | NJ | MADICARE ID-TYPE UNSPECIFIED |
6504906 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MA74369 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Joseph Medical Group | 3779688650 | 174 |
Entity Name | St Joseph Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184754657 PECOS PAC ID: 3779688650 Enrollment ID: O20070421000011 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark William Connolly, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Dr Mark William Connolly, MD 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 270-3751 |
Savas Mavridis, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 717-270-3751 | |
Dr. Mohammad Bashar Yousuf, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 717-270-3754 | |
Dr. Mark Allan Osevala, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 717-270-3754 | |
Martin Leboutillier Iii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: Fourth & Walnut Sts, 2nd Fl, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 717-270-3754 | |
Dr. David John Cohen, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 717-270-3754 |