| Carlos Oblena Dator Jr, MD | |
|
110 W 6th St, Oswego, NY 13126-2507 | |
| (315) 349-5511 | |
| Not Available |
| Full Name | Carlos Oblena Dator Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 110 W 6th St, Oswego, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114287158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 281672 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oswego Hospital | Oswego, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carmen Bautista Dator, Md Pc | 4688617764 | 2 |
| Oswego Hospital | 4981686045 | 46 |
| Entity Name | Oswego Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871678458 PECOS PAC ID: 4981686045 Enrollment ID: O20040602001275 |
| Entity Name | Carmen Bautista Dator, Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912066242 PECOS PAC ID: 4688617764 Enrollment ID: O20050609000362 |
| Entity Name | Pons Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457732554 PECOS PAC ID: 9931416187 Enrollment ID: O20150921001165 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Oblena Dator Jr, MD 110 W 6th St, Oswego, NY 13126-2507 Ph: (315) 349-5511 | Carlos Oblena Dator Jr, MD 110 W 6th St, Oswego, NY 13126-2507 Ph: (315) 349-5511 |
Dr. Linda D Mandanas, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 144 W 5th St, Oswego, NY 13126 Phone: 315-342-1765 Fax: 315-342-1742 | |
Dr. Corliss Adam Varnum, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33 E Schuyler St, Oswego, NY 13126 Phone: 315-343-6974 Fax: 315-342-3625 | |
Ravneet Kaur, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W Utica St, Oswego, NY 13126 Phone: 315-342-2024 Fax: 315-342-3208 | |
Dr. Adaora S Udekwu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5733 | |
Ms. Alison E Fluman, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 | |
Dr. Micheal D Stephens, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W Utica St, Oswego, NY 13126 Phone: 315-342-2024 Fax: 315-343-5317 |