| Douglas D Hage, MD | |
|
7020 Erie Rd, Derby, NY 14047-9306 | |
| (716) 947-4545 | |
| (716) 947-6146 |
| Full Name | Douglas D Hage |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 7020 Erie Rd, Derby, 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 |
|---|---|---|---|
| 1538113873 | NPI | - | NPPES |
| 000511489002 | Other | NY | BC BS WNY |
| 000511489004 | Other | NY | BC BS WNY |
| 0707767 | Other | NY | INDEPENDENT HEALTH |
| 01530221 | Medicaid | NY | |
| 00010071602 | Other | NY | UNIVERA HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 188832 (New York) | Primary |
| Entity Name | Sisters Of Charity Hospital Of Buffalo New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557 |
| Entity Name | Kenmore Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770598104 PECOS PAC ID: 7517870462 Enrollment ID: O20040319000138 |
| Entity Name | Mount St. Marys Hospital Of Niagara Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043394745 PECOS PAC ID: 4082523790 Enrollment ID: O20040403000031 |
| Entity Name | Mercy Hospital Of Buffalo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164464921 PECOS PAC ID: 8729991666 Enrollment ID: O20040702001253 |
| Entity Name | General Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas D Hage, MD 905 Harlem Rd, West Seneca, NY 14224-1066 Ph: (716) 825-1398 | Douglas D Hage, MD 7020 Erie Rd, Derby, NY 14047-9306 Ph: (716) 947-4545 |