| Deepan Selvadurai, MD | |
|
3055 Southwestern Blvd Ste 108, Orchard Park, NY 14127-1231 | |
| (716) 671-9020 | |
| Not Available |
| Full Name | Deepan Selvadurai |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 20 Years |
| Location | 3055 Southwestern Blvd Ste 108, Orchard Park, 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 |
|---|---|---|---|
| 1790795433 | NPI | - | NPPES |
| 03256860 | Medicaid | NY | |
| 719437000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 258143 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Buffalo Ophthalmology, Pllc | 3173821659 | 7 |
| Entity Name | Ophthalmology Associates Of Western New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609980879 PECOS PAC ID: 4082784608 Enrollment ID: O20080609000107 |
| Entity Name | Buffalo Ophthalmology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497112734 PECOS PAC ID: 3173821659 Enrollment ID: O20160418000226 |
| Entity Name | Buffalo Optique Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013629377 PECOS PAC ID: 7517339435 Enrollment ID: O20230202000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Deepan Selvadurai, MD 405 International Dr, Williamsville, NY 14221-5725 Ph: (716) 633-7386 | Deepan Selvadurai, MD 3055 Southwestern Blvd Ste 108, Orchard Park, NY 14127-1231 Ph: (716) 671-9020 |
Mr. Mark Samuel Mandelcorn, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 301 Sterling Drive, Orchard Park, NY 14127 Phone: 716-677-6500 Fax: 716-677-6507 | |
Michael Campbell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3151 Southwestern Blvd, Orchard Park, NY 14127 Phone: 716-674-6030 | |
Nathaniel Simmons, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3151 Southwester Blvd, Orchard Park, NY 14127 Phone: 716-674-6030 | |
Colin Anderson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3151 Southwestern Blvd, Orchard Park, NY 14127 Phone: 716-674-6030 | |
Dr. Leonard Gurevich, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 301 Sterling Dr, Orchard Park, NY 14127 Phone: 716-677-6500 Fax: 716-677-6507 | |
Dr. Andrew Paul Beiter, MD Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 3151 Southwestern Blvd, Orchard Park, NY 14127 Phone: 716-674-6030 Fax: 716-674-6052 |