Dr Charles D Maskiell, MD | |
200 Red Creek Dr, Suite 100, Rochester, NY 14623-5264 | |
(585) 334-0130 | |
(585) 334-0213 |
Full Name | Dr Charles D Maskiell |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 200 Red Creek Dr, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295763472 | NPI | - | NPPES |
000911908001 | Other | NY | HEALTHNOW |
MD142Z | Other | NY | PREFERRED CARE |
3136 | Other | NY | BC/BS |
391785 | Other | NY | MVP |
4345333 | Other | NY | AETNA |
P010130694 | Other | NY | BLUE CHOICE |
5900780 | Other | NY | GHI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 130694 (New York) | Primary |
Entity Name | Greater Rochester Immediate Medical Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295064103 PECOS PAC ID: 8123158078 Enrollment ID: O20100619000043 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles D Maskiell, MD Po Box 278980, Rochester, NY 14627-8980 Ph: () - | Dr Charles D Maskiell, MD 200 Red Creek Dr, Suite 100, Rochester, NY 14623-5264 Ph: (585) 334-0130 |
Dr. Colleen Kilbourne Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Clinton Ave S, Rochester, NY 14620 Phone: 585-279-4763 | |
Holly Ann Emily Russell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 S Clinton Ave, Rochester, NY 14620 Phone: 585-279-4800 Fax: 585-442-8319 | |
Alana Marie Surace, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 500 Island Cottage Rd, Rochester, NY 14612 Phone: 585-368-6000 Fax: 585-368-6010 | |
Letitia Devoesick, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Island Cottage Road, Rochester, NY 14612 Phone: 585-368-6000 Fax: 585-368-6010 | |
Kim Bruce Abell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2212 Penfield Rd, Suite 100, Rochester, NY 14526 Phone: 585-598-8505 Fax: 585-598-8122 | |
Igor Mihajlov, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 Elmwood Av, Rochester, NY 14620 Phone: 585-241-1200 | |
Branko Matich, Family Medicine Medicare: Medicare Enrolled Practice Location: 322 Lake Ave, Rochester, NY 14608 Phone: 585-254-6480 Fax: 585-254-1092 |