| Ms Susan Carlisle, RPA-C | |
|
10 Brentwood Dr, Suite B, Ithaca, NY 14850-1865 | |
| (607) 266-0073 | |
| (607) 266-9310 |
| Full Name | Ms Susan Carlisle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 10 Brentwood Dr, Ithaca, 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 |
|---|---|---|---|
| 1225042443 | NPI | - | NPPES |
| 01611072 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0000081 (New York) | Secondary |
| 363A00000X | Physician Assistant | 005198-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guthrie Cortland Regional Medical Center | Cortland, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guthrie Medical Group Pc | 6002728656 | 637 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Carlisle, RPA-C 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Ms Susan Carlisle, RPA-C 10 Brentwood Dr, Suite B, Ithaca, NY 14850-1865 Ph: (607) 266-0073 |
Paul Emerson Jones, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 | |
Ms. Paula Fitzsimmons, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1020 Craft Rd Ste C, Ithaca, NY 14850 Phone: 607-339-0625 Fax: 607-535-2714 | |
Shanise Thomas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850 Phone: 607-272-7000 | |
Rodger Joseph Lantz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-279-0199 | |
Rocco Rosano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr, Suite A, Ithaca, NY 14850 Phone: 607-272-7000 | |
Mr. Bryan R Gibb, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850 Phone: 607-272-7000 Fax: 607-272-4604 | |
Mahbuba Akter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 215 E State St, Ithaca, NY 14850 Phone: 607-274-3011 |