Lisa J Sousou, PA | |
522 S 4th St Ste 500, Fulton, NY 13069-2936 | |
(315) 598-4740 | |
(315) 598-4728 |
Full Name | Lisa J Sousou |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 24 Years |
Location | 522 S 4th St Ste 500, Fulton, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255449948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 008094 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oswego County Opportunities, Inc. | 0749176436 | 3 |
Entity Name | Oswego County Opportunities, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740396324 PECOS PAC ID: 0749176436 Enrollment ID: O20040227000780 |
Mailing Address | Practice Location Address |
---|---|
Lisa J Sousou, PA 239 Oneida St, Fulton, NY 13069-1228 Ph: (315) 598-4715 | Lisa J Sousou, PA 522 S 4th St Ste 500, Fulton, NY 13069-2936 Ph: (315) 598-4740 |
Matthew John Kohls, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 522 S 4th St, Fulton, NY 13069 Phone: 315-592-3930 Fax: 315-592-3932 | |
Mikayla Van Gorder, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 S 4th St Ste 600, Fulton, NY 13069 Phone: 315-598-4790 Fax: 315-593-6195 | |
Ms. Cynthia J Young-mayka, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 806 West Broadway Associated Medical Professionals, Fulton, NY 13069 Phone: 315-297-4700 Fax: 315-218-5898 | |
Kimberly Pompo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 522 S 4th St Ste 1700, Fulton, NY 13069 Phone: 315-592-3930 | |
Helen Williams, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 S 4th St Ste 140, Fulton, NY 13069 Phone: 315-349-5873 Fax: 315-592-3949 | |
Brandon Michael Weaver, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 S 4th St Ste 140, Fulton, NY 13069 Phone: 315-592-3930 Fax: 315-592-3932 |