| Susquehanna Health Medical Group | |
|
1205 Grampian Blvd Suite 3c Williamsport PA 17701-1970 | |
| (570) 320-7800 | |
| (570) 320-7801 |
| Full Name | Susquehanna Health Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1205 Grampian Blvd, 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 1205 Grampian Blvd Suite 3c Williamsport PA 17701-1970 Ph: (570) 320-7800 |
| NPI Number | 1316975881 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 10/20/2015 |
| Medicare PECOS PAC ID | 2264336460 |
|---|---|
| Medicare Enrollment ID | O20040709000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316975881 | NPI | - | NPPES |
| 880365 | Other | PA | HIGHMARK BLUE SHIELD |
| 0017300760158 | Medicaid | PA |
| Provider Name | Matthew Meeker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518288935 PECOS PAC ID: 8921246018 Enrollment ID: I20131004000007 |
| Provider Name | Kelly D Douglass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598198525 PECOS PAC ID: 4082841762 Enrollment ID: I20131231000204 |
| Provider Name | Leeanna Lyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144517483 PECOS PAC ID: 4082852157 Enrollment ID: I20140904001555 |
| Provider Name | Morgan Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326498726 PECOS PAC ID: 8325330087 Enrollment ID: I20191002002892 |
| Provider Name | Cameron P Glagola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477046845 PECOS PAC ID: 2567711179 Enrollment ID: I20210827000113 |
| Provider Name | Laura Nicole Maxwell-rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447951702 PECOS PAC ID: 5991170243 Enrollment ID: I20230419000370 |
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 |