| Dr John Lewis Fedullo, D O | |
|
4988 State Highway 30, Amsterdam, NY 12010-7520 | |
| (518) 841-3481 | |
| Not Available |
| Full Name | Dr John Lewis Fedullo |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 32 Years |
| Location | 4988 State Highway 30, Amsterdam, 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 |
|---|---|---|---|
| 1538364237 | NPI | - | NPPES |
| 1720051428 | Other | NY | GROUP NPI |
| 01762629 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 197917 (New York) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 197917 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospice, Inc, The | Rensselaer, NY | Hospice |
| St Mary's Healthcare | Amsterdam, NY | Hospital |
| Nathan Littauer Hospital | Gloversville, NY | Hospital |
| Ellis Hospital | Schenectady, NY | Hospital |
| Albany Medical Center Hospital | Albany, NY | Hospital |
| Sunnyview Hospital And Rehabilitation Center | Schenectady, NY | Hospital |
| Wilkinson Residential Health Care Facility | Amsterdam, NY | Nursing home |
| Suffolk Center For Rehabilitation And Nursing | Patchogue, NY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nysarc Inc Fulton County Chapter | 5890717979 | 23 |
| St. Mary's Healthcare | 7618960709 | 96 |
| Entity Name | St. Mary's Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518926401 PECOS PAC ID: 7618960709 Enrollment ID: O20040405001628 |
| Entity Name | Nysarc Inc Fulton County Chapter |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245309434 PECOS PAC ID: 5890717979 Enrollment ID: O20060104000133 |
| Entity Name | Hospice Of Fulton County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396759213 PECOS PAC ID: 1254362528 Enrollment ID: O20201212000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Lewis Fedullo, D O 4988 State Highway 30, Amsterdam, NY 12010-7520 Ph: (518) 841-3481 | Dr John Lewis Fedullo, D O 4988 State Highway 30, Amsterdam, NY 12010-7520 Ph: (518) 841-3481 |
Kelly L La Foe, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 43 Liberty Dr, Amsterdam, NY 12010 Phone: 518-954-5080 | |
Dr. Paul William Salerno, M.D Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 67 Division St, Amsterdam, NY 12010 Phone: 518-842-2723 Fax: 518-842-6573 | |
Dr. Romario Ferreira De Sousa, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5010 State Highway 30 Ste G03, Amsterdam, NY 12010 Phone: 518-841-3406 Fax: 518-841-3405 | |
Regina Marie Breton, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 427 Guy Park Ave, Amsterdam, NY 12010 Phone: 518-841-7385 |