Prakash G Koshy, MD | |
700 High St, Williamsport, PA 17701-3100 | |
(570) 322-1161 | |
(570) 322-2030 |
Full Name | Prakash G Koshy |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 700 High St, Williamsport, 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 |
---|---|---|---|
1215142542 | NPI | - | NPPES |
1026248300001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD443613 (Pennsylvania) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 4301087265 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Williamsport Regional Medical Center | Williamsport, PA | Hospital |
Upmc Susquehanna Muncy | Muncy, PA | Hospital |
Geisinger Jersey Shore Hospital | Jersey shore, PA | Hospital |
Upmc Cole | Coudersport, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Susquehanna Imaging Associates, Inc. | 3870482409 | 8 |
Entity Name | Susquehanna Imaging Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326069212 PECOS PAC ID: 3870482409 Enrollment ID: O20040312000168 |
Mailing Address | Practice Location Address |
---|---|
Prakash G Koshy, MD 700 High St, Williamsport, PA 17701-3100 Ph: (570) 322-1161 | Prakash G Koshy, MD 700 High St, Williamsport, PA 17701-3100 Ph: (570) 322-1161 |
Benjamin Bansun Chang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Williamsport, PA 17701 Phone: 703-212-8055 | |
David Quintana, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 | |
Dr. Richard Douglas Walter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 87 Selkirk Rd, Williamsport, PA 17701 Phone: 570-326-4828 | |
Abike O. Durojaye, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 | |
Chin-chin Yeh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Williamsport, PA 17701 Phone: 570-321-2805 | |
Shabbir Esaa, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-322-1161 Fax: 570-322-2030 |