| Dr Andrew Jerome Kosmowski, MD | |
|
11050 Mt Belvedere Blvd, Usa/meddac/credentials, Fort Drum, NY 13602-5004 | |
| (315) 772-4025 | |
| (315) 772-9498 |
| Full Name | Dr Andrew Jerome Kosmowski |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 11050 Mt Belvedere Blvd, Fort Drum, 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 |
|---|---|---|---|
| 1629051727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 200100158 (North Carolina) | Primary |
| Entity Name | Guam Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366519027 PECOS PAC ID: 5890781694 Enrollment ID: O20040426000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Jerome Kosmowski, MD 11050 Mt Belvedere Blvd, Usa Meddac Attn:credentials, Fort Drum, NY 13602-5004 Ph: (315) 772-4025 | Dr Andrew Jerome Kosmowski, MD 11050 Mt Belvedere Blvd, Usa/meddac/credentials, Fort Drum, NY 13602-5004 Ph: (315) 772-4025 |
Dr. Isaac P Mills, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 |
Dr. Jin Pyun, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10506 2nd St, Fort Drum, NY 13602 Phone: 315-772-8443 |
Dr. Soham Parikh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 |
Kevin Hendrickson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 908-255-2087 |
Bradley Alan Tait, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 |
Dr. Mcdaniel Holloway, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11050 Belevedere Blvd, Attn Jill Goodwin, Fort Drum, NY 13602 Phone: 469-524-1614 |
Dr. David Bruce Crandall Jr., D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac, Attn: Credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 |