William Joseph Mattiace, MD | |
1205 River Ave, 1st Floor, Williamsport, PA 17701-3724 | |
(570) 323-5991 | |
(570) 323-6578 |
Full Name | William Joseph Mattiace |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1205 River Ave, Williamsport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518906262 | NPI | - | NPPES |
0012801050003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD044878L (Pennsylvania) | Primary |
Entity Name | Family Practice Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
Mailing Address | Practice Location Address |
---|---|
William Joseph Mattiace, MD 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | William Joseph Mattiace, MD 1205 River Ave, 1st Floor, Williamsport, PA 17701-3724 Ph: (570) 323-5991 |
Dr. Kathleen Claire Lewis, Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Four Mile Dr, Williamsport, PA 17701 Phone: 570-327-1000 Fax: 570-323-6079 | |
Alexander Elli Nuique Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1205 River Avenue Fl 2, Williamsport, PA 17701 Phone: 570-326-4118 Fax: 570-326-5533 | |
Jeffrey Verzella, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 4001, Williamsport, PA 17701 Phone: 570-321-2345 | |
Courtney Leigh Goettel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 4001, Williamsport, PA 17701 Phone: 570-321-2345 | |
Lara Jaussi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7680 | |
Leeanna Lyne, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701 Phone: 570-320-7800 | |
Daniel R Conner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 |