Robert G Parke, MD | |
4101 Medical Center Dr, Fayetteville, NY 13066-6610 | |
(315) 637-7878 | |
(315) 329-7825 |
Full Name | Robert G Parke |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4101 Medical Center Dr, Fayetteville, 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 |
---|---|---|---|
1255392270 | NPI | - | NPPES |
00561293 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 126077 (New York) | Primary |
Entity Name | St Josephs Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
Mailing Address | Practice Location Address |
---|---|
Robert G Parke, MD 4101 Medical Center Dr, Fayetteville, NY 13066-6600 Ph: (315) 637-7878 | Robert G Parke, MD 4101 Medical Center Dr, Fayetteville, NY 13066-6610 Ph: (315) 637-7878 |
Vijaya Seepana, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878 | |
Dr. Linda Nancy Robinson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7107 Thorntree Hill Dr, Fayetteville, NY 13066 Phone: 315-637-1201 | |
Mark William Guelzow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066 Phone: 315-637-7878 | |
Deann Lynn Cummings, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4104 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123 | |
Allan M Birnbaum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878 Fax: 315-637-7870 | |
Roshan Ghimire, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-637-7878 | |
Austin Tsai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123 |