Mark Kwalbrun, MD | |
1571 Washington St, Suite 101, Watertown, NY 13601-9304 | |
(315) 786-5000 | |
(315) 786-5001 |
Full Name | Mark Kwalbrun |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 1571 Washington St, Watertown, 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 |
---|---|---|---|
1811997042 | NPI | - | NPPES |
02461787 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 225726 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Samaritan Medical Center | Watertown, NY | Hospital |
Lincoln Medical & Mental Health Center | Bronx, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Samaritan Medical Center | 8123914876 | 122 |
Downtown Bronx Medical Associates Pc | 9638082746 | 351 |
Entity Name | Downtown Bronx Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
Entity Name | Samaritan Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525 |
Entity Name | St Lawrence Radiology Assoc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154380863 PECOS PAC ID: 2264421122 Enrollment ID: O20040507000290 |
Entity Name | Olean Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700829850 PECOS PAC ID: 9133118862 Enrollment ID: O20040508000177 |
Entity Name | Seaway Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124012018 PECOS PAC ID: 6305837584 Enrollment ID: O20040518001496 |
Entity Name | Ali M Gharagozloo Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831182633 PECOS PAC ID: 0446228472 Enrollment ID: O20040917000973 |
Entity Name | Coney Island Medical Practice Plan, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 |
Entity Name | Harlem Medical Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487957692 PECOS PAC ID: 9335321223 Enrollment ID: O20110315000005 |
Entity Name | Metropolitan Medical Practice Plan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
Mailing Address | Practice Location Address |
---|---|
Mark Kwalbrun, MD 1571 Washington St, Suite 101, Watertown, NY 13601-9304 Ph: (315) 786-5046 | Mark Kwalbrun, MD 1571 Washington St, Suite 101, Watertown, NY 13601-9304 Ph: (315) 786-5000 |
Dr. Susanne Daye, MD Radiology Medicare: Medicare Enrolled Practice Location: 1571 Washington St, Suite 101, Watertown, NY 13601 Phone: 315-786-5046 Fax: 315-786-5043 | |
Dr. Todd D Clopper, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1571 Washington St, Watertown, NY 13601 Phone: 315-786-5000 | |
Daniel J Weber, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1571 Washington St, Suite 101, Watertown, NY 13601 Phone: 315-786-5046 Fax: 315-786-5043 | |
Daniel Francis Nattell, MD Radiology Medicare: Medicare Enrolled Practice Location: 1571 Washington St, Watertown, NY 13601 Phone: 315-786-5000 | |
Dr. Russell Abbott Reeves, M.D., M.S. Radiology Medicare: Medicare Enrolled Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4100 | |
Jeffrey D Way, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1571 Washington St, Watertown, NY 13601 Phone: 315-786-5046 Fax: 315-786-5043 | |
Richard G Sherry, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1340 Washington St, Watertown, NY 13601 Phone: 315-782-9003 Fax: 315-782-9010 |