| Derek Robert Cooney, MD | |
|
750 E Adams St, Upstate Emergency Medicine, Syracuse, NY 13210-2306 | |
| (315) 464-4363 | |
| (315) 464-8690 |
| Full Name | Derek Robert Cooney |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 750 E Adams St, Syracuse, 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 |
|---|---|---|---|
| 1811959612 | NPI | - | NPPES |
| 1721391-01 | Medicaid | TX | |
| 8P9119 | Other | TX | BLUE SHIELD |
| 02881712 | Medicaid | NY | |
| 1721391-02 | Other | TX | CSHCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M0691 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | 243861 (New York) | Primary |
| Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
| Entity Name | Upstate Emergency Medicine, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275589582 PECOS PAC ID: 2466443494 Enrollment ID: O20040519001106 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Robert Cooney, MD 750 E Adams St, Upstate Emergency Medicine, Syracuse, NY 13210-2306 Ph: (315) 464-4363 | Derek Robert Cooney, MD 750 E Adams St, Upstate Emergency Medicine, Syracuse, NY 13210-2306 Ph: (315) 464-4363 |
Brennan Ellis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-6202 Fax: 315-464-9501 | |
Bethany A Hawke, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-4363 | |
David J. Seeley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-448-5101 | |
Risa L Farber-heath, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-4363 Fax: 315-464-8690 | |
Dr. Christopher Thomas Tanski, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-4363 Fax: 315-464-4854 | |
Andrey Moyko, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 617-754-2323 | |
Michael Timothy Kernan, MD. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Morton Rd Ste 104, Syracuse, NY 13214 Phone: 315-491-4225 Fax: 315-663-0123 |