Susquehanna Physician Services | |
1100 Grampian Blvd Williamsport PA 17701-1909 | |
(570) 320-7525 | |
(570) 320-7484 |
Full Name | Susquehanna Physician Services |
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Speciality | Psychiatry & Neurology |
Location | 1100 Grampian Blvd, Williamsport, Pennsylvania |
Authorized Official Name and Position | Melissa Davis (VP/COO) |
Authorized Official Contact | 5703207696 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Susquehanna Physician Services 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Physician Services 1100 Grampian Blvd Williamsport PA 17701-1909 Ph: (570) 320-7525 |
NPI Number | 1831132927 |
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Provider Enumeration Date | 06/14/2006 |
Last Update Date | 12/04/2017 |
Medicare PECOS PAC ID | 2264336460 |
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Medicare Enrollment ID | O20040503000889 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831132927 | NPI | - | NPPES |
0017300760154 | Medicaid | PA | |
424132 | Other | PA | HIGHMARK BLUE SHIELD |
Provider Name | Richard Edward Dowell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134149271 PECOS PAC ID: 3173411386 Enrollment ID: I20040309000850 |
Provider Name | Lisa Reynolds |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952300568 PECOS PAC ID: 8123919131 Enrollment ID: I20040322000132 |
Provider Name | Luke Adam Stefanile |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1558338897 PECOS PAC ID: 3678567765 Enrollment ID: I20040412001405 |
Provider Name | James E Manning |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1245270180 PECOS PAC ID: 3971596040 Enrollment ID: I20070625000616 |
Provider Name | Teresa Irene Bianco |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1881655942 PECOS PAC ID: 2769517655 Enrollment ID: I20100317000580 |
Provider Name | Priya R Gopalan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073712956 PECOS PAC ID: 3375720196 Enrollment ID: I20110603000452 |
Provider Name | Lynette Turay |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861507923 PECOS PAC ID: 2668642398 Enrollment ID: I20120530000299 |
Provider Name | Andrei T Nemoianu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063614238 PECOS PAC ID: 1759527427 Enrollment ID: I20131220001737 |
Provider Name | Wanda Louise Hartman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619131257 PECOS PAC ID: 8820221807 Enrollment ID: I20140428000851 |
Provider Name | Chijioke Nnanna Egbujo |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164601548 PECOS PAC ID: 9830484005 Enrollment ID: I20160826001276 |
Provider Name | Ali Nelson Canton Vafabakhsh |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578857595 PECOS PAC ID: 8628210754 Enrollment ID: I20161028000866 |
Provider Name | Heather Anne Young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275024937 PECOS PAC ID: 9335404797 Enrollment ID: I20180606000442 |
Provider Name | Kashif Nadeem Malik |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760682025 PECOS PAC ID: 0941486500 Enrollment ID: I20190123003922 |
Provider Name | Stephanie Lamb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881157618 PECOS PAC ID: 8325381684 Enrollment ID: I20190530001028 |
Provider Name | Sarah Mclaughlin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780070029 PECOS PAC ID: 2466756713 Enrollment ID: I20190604001446 |
Provider Name | Jacquelyn Elaine Zielewicz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598399610 PECOS PAC ID: 8628408754 Enrollment ID: I20200414000003 |
Provider Name | Maryjane Harris |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942636972 PECOS PAC ID: 5597036350 Enrollment ID: I20210330000057 |
Provider Name | Melanie S Haddox |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609840099 PECOS PAC ID: 6406899822 Enrollment ID: I20220308002467 |
Provider Name | Sagar Naresh Patel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033652672 PECOS PAC ID: 7214272434 Enrollment ID: I20220626000015 |
Provider Name | Usman Ahmed |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639533276 PECOS PAC ID: 0244658102 Enrollment ID: I20221014001590 |
Provider Name | Kelly Goff |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376935643 PECOS PAC ID: 7618330887 Enrollment ID: I20230906001121 |
Provider Name | Lasandra Ward |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1558833871 PECOS PAC ID: 7315276508 Enrollment ID: I20231006002547 |
Provider Name | Matthew Foster Geromi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831450139 PECOS PAC ID: 9234370453 Enrollment ID: I20231124000081 |
Provider Name | Helen Marie Rogers |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1114690500 PECOS PAC ID: 3577914274 Enrollment ID: I20240107000037 |
Provider Name | Meaghan Elspeth Brought |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1831783455 PECOS PAC ID: 8426409897 Enrollment ID: I20240110001768 |
Provider Name | Kaitlin Marie Berger Ulsamer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184973547 PECOS PAC ID: 3971956186 Enrollment ID: I20240124001448 |
Provider Name | Rachel A Baker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467186569 PECOS PAC ID: 1456798982 Enrollment ID: I20240320001425 |
Gillum Psychological & Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 Pine St, Suite 1b, Williamsport, PA 17701 Phone: 570-321-6390 Fax: 570-321-6393 | |
Crossroads Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 East Third Street, Williamsport, PA 17701 Phone: 570-323-7535 Fax: 570-323-3790 | |
Lawrence M Satifka Ma Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Pine St Ste 400, Williamsport, PA 17701 Phone: 570-772-3090 Fax: 570-300-2371 | |
L.c.c.c.s Children's Development Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 W Edwin St, Williamsport, PA 17701 Phone: 570-326-0565 Fax: 570-329-2522 | |
Diakon Family Life Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Williamsport Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Market St, Williamsport, PA 17701 Phone: 570-322-2603 Fax: 570-322-4208 | |
Diakon Child,family&community Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Loyalsock Dr, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 |