| Susquehanna Health Medical Group | |
|
215 E Water St Muncy PA 17756-8828 | |
| (570) 546-4040 | |
| (570) 546-4095 |
| Full Name | Susquehanna Health Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 215 E Water St, Muncy, Pennsylvania |
| Authorized Official Name and Position | Melissa Davis (VP/COO) |
| Authorized Official Contact | 5703207696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Health Medical Group 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Health Medical Group 215 E Water St Muncy PA 17756-8828 Ph: (570) 546-4040 |
| NPI Number | 1154367035 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154367035 | NPI | - | NPPES |
| 804626 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Dilip Elangbam, M.d.,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Shady Ln, Suite 201, Muncy, PA 17756 Phone: 570-546-2505 Fax: 570-546-2506 | |
Upmc Muncy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E Water St, Muncy, PA 17756 Phone: 570-546-8282 Fax: 570-326-8601 |