| Ayesha Tasaddaq, MD | |
|
60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | |
| (585) 335-6041 | |
| (585) 335-6764 |
| Full Name | Ayesha Tasaddaq |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 60 Red Jacket St, Dansville, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972831782 | NPI | - | NPPES |
| 03252595 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 258140 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vna Of Western Ny Chha | Williamsville, NY | Home health agency |
| Nicholas H Noyes Memorial Hospital | Dansville, NY | Hospital |
| St James Mercy Hospital | Hornell, NY | Hospital |
| Strong Memorial Hospital | Rochester, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Family Medicine Program, Inc. | 4183699937 | 17 |
| Entity Name | Tri-county Family Medicine Program, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588649503 PECOS PAC ID: 4183699937 Enrollment ID: O20040826000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Ayesha Tasaddaq, MD Po Box 601, 10869 Rte 36 South, Dansville, NY 14437-0601 Ph: (585) 335-3416 | Ayesha Tasaddaq, MD 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 Ph: (585) 335-6041 |
Dr. Colleen Kilbourne Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Red Jacket St Ste 1, Dansville, NY 14437 Phone: 585-335-6041 Fax: 585-335-6764 | |
Dr. Jennifer Graham, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 22 Red Jacket St, Dansville, NY 14437 Phone: 585-335-5200 Fax: 585-335-5037 | |
Dr. Geoffrey Wittig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Red Jacket St Ste 1, Dansville, NY 14437 Phone: 585-335-6041 Fax: 585-335-6764 |