Dr Samir Elie Kodsi, MD | |
1086 Franklin St, Radiology Dept, Johnstown, PA 15905-4305 | |
(814) 539-5987 | |
(814) 535-4176 |
Full Name | Dr Samir Elie Kodsi |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 1086 Franklin St, Johnstown, 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 |
---|---|---|---|
1720100100 | NPI | - | NPPES |
102603043 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 229111 (Massachusetts) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD438731 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medstar Union Memorial Hospital | Baltimore, MD | Hospital |
Medstar Good Samaritan Hospital | Baltimore, MD | Hospital |
Medstar Franklin Square Medical Center | Baltimore, MD | Hospital |
Medstar Washington Hospital Center | Washington, DC | Hospital |
Medstar Harbor Hospital | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Imaging Of Washington Hospital Center Llc | 6204910292 | 88 |
Medstar Medical Group Radiology, Llc | 1557589157 | 163 |
Physician Imaging Of Washington Hospital Center Llc | 6204910292 | 88 |
Entity Name | Physician Imaging Of Washington Hospital Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831385871 PECOS PAC ID: 6204910292 Enrollment ID: O20080229000143 |
Entity Name | Medstar Medical Group Radiology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20140826000263 |
Mailing Address | Practice Location Address |
---|---|
Dr Samir Elie Kodsi, MD 239 Main St, Suite 400, Johnstown, PA 15901-1640 Ph: (814) 539-5987 | Dr Samir Elie Kodsi, MD 1086 Franklin St, Radiology Dept, Johnstown, PA 15905-4305 Ph: (814) 539-5987 |
Subarna Eisaman, Radiology Medicare: Accepting Medicare Assignments Practice Location: 337 Somerset Street Upmcjohn P. Murtha Regional Cance, Department Of Radiation Oncology, Johnstown, PA 15901 Phone: 814-534-4724 | |
Dr. Howard I Forman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Michael S Hahm, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Kiet A Hoang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Anthony J Scuderi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Lawrence M Mcniesh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
David F Stefanik, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 337 Somerset St, Johnstown, PA 15901 Phone: 814-534-4724 Fax: 814-536-5135 |