| Susquehanna Health Medical Group | |
|
700 High Street Williamsport PA 17701-3198 | |
| (570) 321-2181 | |
| (570) 321-2182 |
| Full Name | Susquehanna Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 High Street, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Melissa Davis (VP/COO) |
| Authorized Official Contact | 5703207696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Health Medical Group 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Health Medical Group 700 High Street Williamsport PA 17701-3198 Ph: (570) 321-2181 |
| NPI Number | 1255363354 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 10/20/2015 |
| Medicare PECOS PAC ID | 2264336460 |
|---|---|
| Medicare Enrollment ID | O20040702000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255363354 | NPI | - | NPPES |
| 880746 | Other | PA | HIGHMARK BLUE SHIELD |
| 0017300760156 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Christian O Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881985695 PECOS PAC ID: 5193027704 Enrollment ID: I20161021000577 |
| Provider Name | Alex Marshal Trzebucki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114269594 PECOS PAC ID: 9739471533 Enrollment ID: I20200709000017 |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Warren Ave, Suite 303, Williamsport, PA 17701 Phone: 570-326-8500 Fax: 570-326-8049 | |
Divine Providence Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-326-8601 | |
White Deer Run Of Williamsport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W 4th St, Williamsport, PA 17701 Phone: 570-322-4836 Fax: 570-322-4769 | |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |
Sps-peck Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Campbell St, Suite 202, Williamsport, PA 17701 Phone: 570-321-2290 Fax: 570-321-2289 |