| Dr Garrett Dejesus, MD | |
|
Elm And Carlton St, Buffalo, NY 14263-0001 | |
| (716) 845-2300 | |
| Not Available |
| Full Name | Dr Garrett Dejesus |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | Elm And Carlton St, Buffalo, 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 |
|---|---|---|---|
| 1104192301 | NPI | - | NPPES |
| 0000000 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD6084084 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Roswell Park Cancer Institute | 3577475110 | 416 |
| Optum Medical Care Pc | 9931013240 | 979 |
| Entity Name | Roswell Park Cancer Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720036593 PECOS PAC ID: 3577475110 Enrollment ID: O20031103000466 |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Optum Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
| Entity Name | Southside Faculty Medical Affiliates University Faculty Prac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20210608003649 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Garrett Dejesus, MD Elm And Carlton St, Buffalo, NY 14263-0001 Ph: (716) 845-2300 | Dr Garrett Dejesus, MD Elm And Carlton St, Buffalo, NY 14263-0001 Ph: (716) 845-2300 |
Dr. Gregory S Shields, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-2954 Fax: 716-859-2962 | |
Weining Ma, MB Radiology Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 | |
Dr. Varun Kumar Chowdhry, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Street, Buffalo, NY 14263 Phone: 716-845-2300 | |
Drew Frederick Pierce, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 219 Bryant St, Buffalo, NY 14222 Phone: 716-878-7000 | |
Rachel Leafe, RT(R), RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 414 Virginia St, Buffalo, NY 14201 Phone: 716-427-4541 | |
Michael Kuettel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 Fax: 716-845-8254 | |
Robert E Lutnick, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 222 Genesee Street, Buffalo, NY 14203 Phone: 716-855-2866 |