| Dr Jeremy Martin Riedesel, MD | |
|
95 E Chautauqua St, Mayville, NY 14757-0168 | |
| (716) 753-7107 | |
| (716) 753-5367 |
| Full Name | Dr Jeremy Martin Riedesel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 95 E Chautauqua St, Mayville, 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 |
|---|---|---|---|
| 1851610950 | NPI | - | NPPES |
| J400023488 | Other | NY | MEDICARE- TYPE UNSPECIFIED |
| 03247270 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD437884 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 257766 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vna Of Western Ny Chha | Williamsville, NY | Home health agency |
| Chautauqua Hospice And Palliative Care | Lakewood, NY | Hospice |
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Westfield Memorial Hospital, Inc | Westfield, NY | Hospital |
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Medical Services Pllc | 9133221666 | 18 |
| Entity Name | Family Health Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619072204 PECOS PAC ID: 9133221666 Enrollment ID: O20070301000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Martin Riedesel, MD 103 Allen St, Jamestown, NY 14701-6968 Ph: (716) 338-0022 | Dr Jeremy Martin Riedesel, MD 95 E Chautauqua St, Mayville, NY 14757-0168 Ph: (716) 753-7107 |
Dr. Alexander Z Selioutski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 E Chautauqua St, Mayville, NY 14757 Phone: 716-753-7107 Fax: 716-753-7980 |