| Dr Andrea Wong, MD | |
| 180 Park Club Ln Ste 250, Williamsville, NY 14221-5259 | |
| (716) 218-1000 | |
| (716) 580-7677 | 
| Full Name | Dr Andrea Wong | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiology - Pain Medicine | 
| Location | 180 Park Club Ln Ste 250, Williamsville, 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 | 
|---|---|---|---|
| 1265725097 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 288129 (New York) | Secondary | 
| 207LP2900X | Anesthesiology - Pain Medicine | 288129 (New York) | Primary | 
| Entity Name | University Hospitals Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Andrea Wong, MD 180 Park Club Ln Ste 250, Williamsville, NY 14221-5259 Ph: (716) 218-1000 | Dr Andrea Wong, MD 180 Park Club Ln Ste 250, Williamsville, NY 14221-5259 Ph: (716) 218-1000 | 
| Katherine Anne Gambacorta, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 S Cayuga Rd, Williamsville, NY 14221 Phone: 716-568-6633 | |
| Jennifer Simkins,  Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 S Cayuga Rd, Williamsville, NY 14221 Phone: 716-632-1088 Fax: 716-632-7842 | |
| Dr. John Ellie, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 338 Harris Hill Rd, Suite 207, Williamsville, NY 14221 Phone: 716-634-4798 Fax: 716-634-0987 | |
| Mont P Stern, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 S Cayuga Rd, Williamsville, NY 14221 Phone: 716-632-1088 Fax: 716-632-7842 | |
| Dr. Daniel Thomas Hemmingson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 S Cayuga Rd, Williamsville, NY 14221 Phone: 716-632-1088 Fax: 716-632-7842 | |
| Dr. John Robert Lofaso, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 S Cayuga Rd, Williamsville, NY 14221 Phone: 716-632-1088 | |
| Pedro Antonio Perez Cartagena, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30s Cayuga Rd, Williamsville, NY 14221 Phone: 716-632-1088 |