| Ithaca Medical Services Pllc | |
|
953 Danby Rd Ithaca NY 14850-7000 | |
| (607) 882-0010 | |
| Not Available |
| Full Name | Ithaca Medical Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 953 Danby Rd, Ithaca, New York |
| Authorized Official Name and Position | Kathy Hatfield (REIMBURSEMENT MANAGER) |
| Authorized Official Contact | 6078220010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ithaca Medical Services Pllc 1301 Trumansburg Rd Ste B Ithaca NY 14850-1397 Ph: (607) 882-0010 | Ithaca Medical Services Pllc 953 Danby Rd Ithaca NY 14850-7000 Ph: (607) 882-0010 |
| NPI Number | 1164166559 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 2961887583 |
|---|---|
| Medicare Enrollment ID | O20220919001604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164166559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew R Getzin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962458406 PECOS PAC ID: 4284626748 Enrollment ID: I20040407000108 |
| Provider Name | Amit K Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699799528 PECOS PAC ID: 8022001825 Enrollment ID: I20040407000295 |
| Provider Name | Jennifer M Metzgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992783153 PECOS PAC ID: 4486622297 Enrollment ID: I20040920000938 |
| Provider Name | Qutaybeh S Maghaydah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083651285 PECOS PAC ID: 9931168598 Enrollment ID: I20041008000172 |
| Provider Name | Jonathan Mauser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417902958 PECOS PAC ID: 9133130644 Enrollment ID: I20060517000101 |
| Provider Name | Emily C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295962892 PECOS PAC ID: 0446305528 Enrollment ID: I20090826000652 |
| Provider Name | Lynn Bancroft Swisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659392538 PECOS PAC ID: 7810981560 Enrollment ID: I20101213000133 |
| Provider Name | Malcolm Brand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770507683 PECOS PAC ID: 1759389158 Enrollment ID: I20110506000008 |
| Provider Name | Lisa A Olson-gugerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083902027 PECOS PAC ID: 6406029024 Enrollment ID: I20111027000058 |
| Provider Name | Carol T Berlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568742914 PECOS PAC ID: 0648495846 Enrollment ID: I20140701002558 |
| Provider Name | Fnu Seemant |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1649435025 PECOS PAC ID: 6103052451 Enrollment ID: I20141010000490 |
| Provider Name | Brian S Marino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750523700 PECOS PAC ID: 4284947011 Enrollment ID: I20150722004388 |
| Provider Name | Bonnie Lee Lefkowitz-white |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073995767 PECOS PAC ID: 9739482977 Enrollment ID: I20160122000651 |
| Provider Name | Douglas Sivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275985558 PECOS PAC ID: 4284920471 Enrollment ID: I20160914002927 |
| Provider Name | Monika Radloff |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700858156 PECOS PAC ID: 0941196265 Enrollment ID: I20180126001100 |
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