| Dr Anthony Dominick Rotella, DO | |
|
308 W Seneca St, Manlius, NY 13104-2318 | |
| (315) 682-5080 | |
| (315) 628-2150 |
| Full Name | Dr Anthony Dominick Rotella |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 308 W Seneca St, Manlius, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134356249 | NPI | - | NPPES |
| 03456851 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 264788 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nascentia Health At Home | Syracuse, NY | Home health agency |
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Community Memorial Hospital, Inc | Hamilton, NY | Hospital |
| Crouse Hospital | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Pt, Ot And Slp Rehabilitation Ny, Pllc | 3870986656 | 138 |
| Familycare Medical Group Pc | 5193639565 | 107 |
| Entity Name | Familycare Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447212063 PECOS PAC ID: 5193639565 Enrollment ID: O20031119000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Dominick Rotella, DO 1001 W Fayette St Ste 400, Syracuse, NY 13204-2866 Ph: (315) 937-3026 | Dr Anthony Dominick Rotella, DO 308 W Seneca St, Manlius, NY 13104-2318 Ph: (315) 682-5080 |
Dr. Philip Kaplan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Fairgrounds Drive, Manlius, NY 13104 Phone: 315-682-6165 Fax: 315-682-7929 | |
Lori L Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 308 W Seneca St, Manlius, NY 13104 Phone: 315-682-5080 Fax: 315-682-8847 | |
Dr. Jarrod Lawrence Bagatell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Fairgrounds Drive, Manlius, NY 13104 Phone: 315-682-6165 Fax: 315-682-7929 | |
Paraskos Araouzos, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4500 Pewter Ln, Manlius, NY 13104 Phone: 315-682-6600 Fax: 315-682-0570 | |
Dr. Henry M. Eisenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 Gadwall Ln, Manlius, NY 13104 Phone: 315-682-0055 Fax: 315-682-0056 | |
Dr. Karen Oliver Nardella, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Fairgrounds Drive, Manlius, NY 13104 Phone: 315-682-6165 Fax: 315-682-7929 |