Mark Brennan, DO | |
30 Harrison St, Ste 455, Johnson City, NY 13790-2161 | |
(607) 763-8100 | |
(607) 763-8048 |
Full Name | Mark Brennan |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 30 Years |
Location | 30 Harrison St, Johnson City, New York |
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 |
---|---|---|---|
1174523443 | NPI | - | NPPES |
02082319 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 217717 (New York) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 217717 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
Chenango Memorial Hospital | Norwich, NY | Hospital |
Delaware Valley Hospital, Inc | Walton, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Health Services Hospitals, Inc. | 5193610533 | 358 |
Entity Name | United Health Services Hospitals, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
Entity Name | Chenango Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770593956 PECOS PAC ID: 7517853633 Enrollment ID: O20040225000911 |
Mailing Address | Practice Location Address |
---|---|
Mark Brennan, DO 346 Grand Ave, United Medical Associates, Pc, Johnson City, NY 13790-2558 Ph: (607) 763-8100 | Mark Brennan, DO 30 Harrison St, Ste 455, Johnson City, NY 13790-2161 Ph: (607) 763-8100 |
J Richard Cunningham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 Harrison St, Suite 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 | |
Curtis Frederick, MD Surgery Medicare: Medicare Enrolled Practice Location: 30 Harrison St Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 | |
Ghassem Mangouri, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-0706 | |
Jeffrey Scott Wiseman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 Harrison St Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 | |
Dariush Vaziri, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 355 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-0706 | |
Michael Aronis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison Street, Suite 400, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048 |