| Dr John Richard Santillo Iii, DO | |
|
2157 Main St, Buffalo, NY 14214-2648 | |
| (716) 862-1820 | |
| Not Available |
| Full Name | Dr John Richard Santillo Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2157 Main St, Buffalo, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447437876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | L1642312 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 257053 (New York) | Primary |
| Entity Name | Buffalo Emergency Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508816521 PECOS PAC ID: 4981502515 Enrollment ID: O20031222000057 |
| Entity Name | Keystone Medical Services Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952331761 PECOS PAC ID: 7810933009 Enrollment ID: O20050628000857 |
| Entity Name | Medical Services Of Buffalo, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487215885 PECOS PAC ID: 7810224359 Enrollment ID: O20190807001015 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Richard Santillo Iii, DO 1 John James Audubon Pkwy, Buffalo, NY 14228-1143 Ph: () - | Dr John Richard Santillo Iii, DO 2157 Main St, Buffalo, NY 14214-2648 Ph: (716) 862-1820 |
Dr. Andrew Robert Poreda, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 High St., Buffalo, NY 14203 Phone: 716-859-5600 | |
Dr. Azima Rasiwala, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2157 Main St, Buffalo, NY 14214 Phone: 716-862-1840 | |
Kunal Chadha, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-0220 Fax: 716-323-0293 | |
Dr. Matthew James Kratochvil, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 6 Fountain Plz, Buffalo, NY 14202 Phone: 716-691-8838 Fax: 716-534-1134 | |
Thomas William Jordan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-1993 | |
Dr. Brian Michael Clemency, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 High St, Bgh - Emergency Medicine, Buffalo, NY 14203 Phone: 716-859-0087 | |
George Richard Braen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Erie County Medical Center, Buffalo, NY 14215 Phone: 716-898-3000 |