Mr Douglas J Ombongi, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Williamsport, PA

Mr Douglas J Ombongi, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Williamsport, Pennsylvania. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Susquehanna Physician Services, Geisinger Clinic and his current practice location is 700 High St, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-1000.

Mr Douglas J Ombongi is licensed to practice in Pennsylvania (license number 622290) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700017001.

Contact Information

Mr Douglas J Ombongi, CRNA
700 High St,
Williamsport, PA 17701-3100
(570) 321-1000
Not Available

Map and Direction




Provider's Profile

Full NameMr Douglas J Ombongi
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience10 Years
Location700 High St, Williamsport, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Douglas J Ombongi graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1700017001
  • Provider Enumeration Date: 08/04/2009
  • Last Update Date: 06/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729205109
  • Enrollment ID: I20140807001979

Medical Identifiers

Medical identifiers for Mr Douglas J Ombongi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700017001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 622290 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Geisinger Wyoming Valley Medical CenterWilkes barre, PAHospital
Williamsport Regional Medical CenterWilliamsport, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Susquehanna Physician Services2264336460483
Geisinger Clinic53956570012841

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Douglas J Ombongi allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameLehigh Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508842246
PECOS PAC ID: 1759276827
Enrollment ID: O20040218000049
Entity NameSusquehanna Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639114689
PECOS PAC ID: 2264336460
Enrollment ID: O20040615001450
Entity NameGulfstream Anesthesia Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992713242
PECOS PAC ID: 2365418241
Enrollment ID: O20050601000415
Entity NameHazleton Anesthesia Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073841698
PECOS PAC ID: 2365584141
Enrollment ID: O20100115000709

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas J Ombongi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Douglas J Ombongi, CRNA
700 High St,
Williamsport, PA 17701-3100

Ph: () -
Mr Douglas J Ombongi, CRNA
700 High St,
Williamsport, PA 17701-3100

Ph: (570) 321-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Williamsport, PA

Jayson Miller,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 338 Eldred St, Williamsport, PA 17701
Phone: 570-971-5153    
Eric Cipcic,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701
Phone: 570-321-2385    
Timothy Douglass,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 High St, Williamsport, PA 17701
Phone: 570-321-2385    
Lynne Brown,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 High St, Williamsport, PA 17701
Phone: 570-321-2385    
David Rhodes,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701
Phone: 570-321-2385    
David Hoffman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 700 High St, Williamsport, PA 17701
Phone: 570-321-1000    
Kelsey Ann Davis, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 700 High St, Williamsport, PA 17701
Phone: 570-321-1279    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.