| Dr Jerry Varghese Thuthikattu John, MD | |
|
15 S Main St Ste 150, Jamestown, NY 14701-6627 | |
| (716) 483-6700 | |
| (716) 664-7275 |
| Full Name | Dr Jerry Varghese Thuthikattu John |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 15 S Main St Ste 150, Jamestown, 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 |
|---|---|---|---|
| 1053920504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 77253-20 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 325117 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chautauqua Hospice And Palliative Care | Lakewood, NY | Hospice |
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Physician Practice Pc | 6709007701 | 131 |
| Entity Name | Great Lakes Physician Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Varghese Thuthikattu John, MD 2400 W Villard Ave, Milwaukee, WI 53209-4901 Ph: (414) 527-8191 | Dr Jerry Varghese Thuthikattu John, MD 15 S Main St Ste 150, Jamestown, NY 14701-6627 Ph: (716) 483-6700 |
Dr. Robert Bailey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 S Main St, Suite 250 - Family Practice, Jamestown, NY 14701 Phone: 716-488-1878 Fax: 716-661-4612 | |
Patrick Collins, Family Medicine Medicare: Medicare Enrolled Practice Location: 17 Sherman St, Suite 2100, Jamestown, NY 14701 Phone: 716-664-2944 | |
Dr. Albert Persia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 Dunham Ave, Jamestown, NY 14701 Phone: 716-665-7007 Fax: 716-664-6131 | |
Neeru Kapur, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 Institute St # Na, Jamestown, NY 14701 Phone: 716-484-4334 | |
Oludotun Adegoke, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St, Jamestown, NY 14701 Phone: 716-483-6700 | |
Diane Mueller, Family Medicine Medicare: Medicare Enrolled Practice Location: 17 Sherman St, Suite 2100, Jamestown, NY 14701 Phone: 716-483-5920 |