| Dr Alexander Z Selioutski, MD | |
|
95 E Chautauqua St, Mayville, NY 14757-0168 | |
| (716) 753-7107 | |
| (716) 753-7980 |
| Full Name | Dr Alexander Z Selioutski |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 95 E Chautauqua St, Mayville, 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 |
|---|---|---|---|
| 1851360606 | NPI | - | NPPES |
| 0110754 | Other | NY | INDEPENDENT HEALTH |
| 00020544403 | Other | NY | UNIVERA |
| 000525727007 | Other | NY | BCBSWNY |
| 01958516 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 209688 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willcare Chha (buffalo) | Buffalo, NY | Home health agency |
| Chautauqua Hospice And Palliative Care | Lakewood, NY | Hospice |
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Heritage Park Rehab & Skilled Nursing | Jamestown, NY | Nursing home |
| Heritage Green Rehab & Skilled Nursing | Greenhurst, NY | Nursing home |
| Heritage Village Rehab And Skilled Nursing Inc. | Gerry, NY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Medical Services Pllc | 9133221666 | 21 |
| Entity Name | Family Health Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619072204 PECOS PAC ID: 9133221666 Enrollment ID: O20070301000185 |
| Entity Name | Brooks-tlc Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1669012597 PECOS PAC ID: 9537158720 Enrollment ID: O20200601001840 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alexander Z Selioutski, MD 95 E Chautauqua St, Po Box 168, Mayville, NY 14757-0168 Ph: (716) 753-7107 | Dr Alexander Z Selioutski, MD 95 E Chautauqua St, Mayville, NY 14757-0168 Ph: (716) 753-7107 |
Dr. Jeremy Martin Riedesel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 E Chautauqua St, Mayville, NY 14757 Phone: 716-753-7107 Fax: 716-753-5367 |