| Dr Gerrit W Heetderks, MD | |
|
4435 Seneca Rd, Trumansburg, NY 14886-9201 | |
| (607) 387-5707 | |
| (607) 387-4354 |
| Full Name | Dr Gerrit W Heetderks |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 4435 Seneca Rd, Trumansburg, 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 |
|---|---|---|---|
| 1740546746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 279852 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vns Ithaca Tompkins Co Chha | Ithaca, NY | Home health agency |
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trumansburg Medicine Pllc | 5395846794 | 6 |
| Entity Name | Trumansburg Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528056942 PECOS PAC ID: 5395846794 Enrollment ID: O20070730000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerrit W Heetderks, MD 4435 Seneca Rd, Trumansburg, NY 14886-9201 Ph: (607) 387-5707 | Dr Gerrit W Heetderks, MD 4435 Seneca Rd, Trumansburg, NY 14886-9201 Ph: (607) 387-5707 |
Maura C Mccauley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 Fax: 607-387-4354 | |
Michelle Paliani Blegen, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 Fax: 607-387-4354 | |
Karren Downs, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 | |
Eric Lessinger, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 Fax: 607-387-4354 | |
John David Cooke, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 Fax: 607-387-4354 |