| Carol Roeder, MD | |
|
701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | |
| (716) 995-4450 | |
| Not Available |
| Full Name | Carol Roeder |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 701 Seneca St Ste 646c, Buffalo, 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 |
|---|---|---|---|
| 1366515330 | NPI | - | NPPES |
| 01817023 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 210055 (New York) | Primary |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Roeder, MD 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443 | Carol Roeder, MD 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 Ph: (716) 995-4450 |
Dr. Andrew Robert Poreda, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 High St., Buffalo, NY 14203 Phone: 716-859-5600 | |
Dr. Azima Rasiwala, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2157 Main St, Buffalo, NY 14214 Phone: 716-862-1840 | |
Kunal Chadha, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-0220 Fax: 716-323-0293 | |
Dr. Matthew James Kratochvil, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 6 Fountain Plz, Buffalo, NY 14202 Phone: 716-691-8838 Fax: 716-534-1134 | |
Thomas William Jordan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-1993 | |
Dr. Brian Michael Clemency, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 High St, Bgh - Emergency Medicine, Buffalo, NY 14203 Phone: 716-859-0087 | |
George Richard Braen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Erie County Medical Center, Buffalo, NY 14215 Phone: 716-898-3000 |