| Dr Eldad Vered, MD | |
|
7785 N State St Ste 210, Lowville, NY 13367-1229 | |
| (315) 376-5475 | |
| (315) 376-5129 |
| Full Name | Dr Eldad Vered |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 7785 N State St Ste 210, Lowville, 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 |
|---|---|---|---|
| 1396815023 | NPI | - | NPPES |
| 1396815023 | Medicaid | UT | |
| 85129836 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 6934299-8017 (Utah) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 175485 (New York) | Primary |
| Entity Name | Essen Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
| Entity Name | House Call Medical Services Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427 |
| Entity Name | Bronx Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004 |
| Entity Name | Shakespeare Operating Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720634538 PECOS PAC ID: 0840604310 Enrollment ID: O20210123000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eldad Vered, MD 2376 N 400 E, 204, Tooele, UT 84074-3413 Ph: (435) 882-1433 | Dr Eldad Vered, MD 7785 N State St Ste 210, Lowville, NY 13367-1229 Ph: (315) 376-5475 |
Martha Lynn Pisaniello, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St Fl 3, Lowville, NY 13367 Phone: 315-376-5287 Fax: 315-376-3228 | |
Frederick Lee Dutton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St Ste 210, Lowville, NY 13367 Phone: 315-376-5475 Fax: 315-376-5129 | |
Dr. Cynthia H Fraser, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St, Suite 210, Lowville, NY 13367 Phone: 315-348-8407 Fax: 315-376-5129 | |
Dr. Adewale Kabir Adegbenro, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7785 N State St, Lowville, NY 13367 Phone: 315-376-9626 Fax: 315-376-5444 | |
Josefina Tan- Domingo, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7785 N State St, Suite 210, Lowville, NY 13367 Phone: 315-376-5475 Fax: 315-376-5129 | |
Dr. Lindsey Danielle Huber, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7785 N State St, Suite 210, Lowville, NY 13367 Phone: 315-376-5475 Fax: 315-376-5129 |