Individual provider Active NPI

Marion Eunice Berbano Tamesis, M.D.

  • Dermatology Physician
  • Johnson City, NY
National Provider Identifier
1821022344
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD437262 Issued in PA
Practice address
302 Reynolds Rd
Johnson City, NY 13790-1308
Phone
(607) 444-5446
Fax
(607) 444-5447
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD437262 PA
Dermatology Physician 207N00000X MD437262 PA Primary

Addresses

Primary practice location

302 Reynolds Rd
Johnson City, NY 13790-1308

Mailing address

302 Reynolds Rd
Johnson City, NY 13790-1308
Phone (607) 444-5446

Other identifiers 3

IdentifierTypeStateIssuer
1023809860001MedicaidPA
I34274OtherCOUPIN
02667729MedicaidNY

Other names 1

  • Marion Eunice Berbano Tamesis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050727000811 NY Practitioner - Dermatology 0749218139 Reassigns benefits to 2 organizations
I20170815001286 PA Practitioner - Dermatology 0749218139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Season Dermatology PLLCGroup PAC ID 3577820851, 7 clinicians

Practice addresses (Care Compare)

302 Reynolds Rd
Johnson City, NY 13790-1308
Phone (607) 444-5446

Hospital & facility affiliations

  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394

Merit-based Incentive Payment System (MIPS)

Final score
98.88 of 100Reported as group
Quality
97.2
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of tissue1-10
Removal of skin lesions1132
Removal or shaving of skin growth114
Skin biopsy274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002402NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince May 2, 2018 Accepting new patients
Guthrie Medical Group, P.C. Dermatology CurrentSince Jul 31, 2017 Accepting new patients
New Season Dermatology, PLLC CurrentSince Apr 3, 2023 Accepting new patients
Guthrie Medical Group, P.C. Dermatology CurrentSince Jul 31, 2017 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

302 Reynolds Rd
Ste A
Johnson City, NY 13790
Phone (607) 444-5446

302 Reynolds Rd
Johnson City, NY 13790
Phone (607) 296-2181

1246 State Route 38
Owego, NY 13827
Phone (607) 687-6101

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

105 Desmond St
Sayre, PA 18840
Phone (570) 877-2832

Interoperability endpoints

  • Direct secure messaging: mtamesis8201@direct-guthrie.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1821022344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 REYNOLDS RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901308",
            "telephone_number": "607-444-5446",
            "fax_number": "607-444-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 REYNOLDS RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901308",
            "telephone_number": "607-444-5446",
            "fax_number": "607-444-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMESIS",
        "first_name": "MARION EUNICE",
        "middle_name": "BERBANO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD437262",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD437262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023809860001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I34274",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02667729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION EUNICE",
            "last_name": "TAMESIS",
            "middle_name": "BERBANO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.