Dr Priscilla K Dale, MD | |
210 E Main St, Springville, NY 14141-1442 | |
(716) 592-3600 | |
(716) 592-2929 |
Full Name | Dr Priscilla K Dale |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 210 E Main St, Springville, 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 |
---|---|---|---|
1194725275 | NPI | - | NPPES |
0145550001 | Other | NY | DMERC |
194016-2 | Other | NY | WORKERS COMP |
01443250 | Medicaid | NY | |
110076542 | Other | NY | RR MEDICARE |
00020007301 | Other | NY | UNIVERA |
000523043001 | Other | NY | BCBS |
0405756AOA | Other | NY | INDEPENDENT HEALTH |
160993858 | Other | NY | CHAMPUS |
0003153 | Other | NY | GHI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 194016 (New York) | Primary |
Entity Name | General Physician Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154 |
Mailing Address | Practice Location Address |
---|---|
Dr Priscilla K Dale, MD 210 E Main St, Springville, NY 14141-1442 Ph: (716) 592-3600 | Dr Priscilla K Dale, MD 210 E Main St, Springville, NY 14141-1442 Ph: (716) 592-3600 |
Dr. Lisette Anne D'eon, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 224 E Main St, Bertrand Chaffee Hospital Primary Care Clinic, Springville, NY 14141 Phone: 716-592-8140 Fax: 716-961-3713 | |
Dr. William Joseph Wnuk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 E Main St, Springville, NY 14141 Phone: 716-592-3635 Fax: 716-592-2929 | |
Vincent Thomas Vertalino, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 224 E Main St, Springville, NY 14141 Phone: 716-592-8111 | |
Dr. Edwin Heidelberger, MD PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 E Main St, Springville, NY 14141 Phone: 716-592-3635 Fax: 716-592-2929 | |
Dr. Patrick Thomas Hurley Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 E Main St 2nd Floor, Springville, NY 14141 Phone: 716-592-3600 Fax: 716-592-3613 |