| Dr John W Simon, MD | |
|
920 Albany Shaker Rd, Suite 101, Latham, NY 12110 | |
| (518) 533-6502 | |
| (518) 533-6505 |
| Full Name | Dr John W Simon |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 920 Albany Shaker Rd, Latham, 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 |
|---|---|---|---|
| 1093770323 | NPI | - | NPPES |
| 206233 | Other | NY | WELLCARE |
| 000406953005 | Other | NY | BLUE SHIELD |
| 0499000 | Other | NY | GHI |
| 1001534 | Medicaid | VT | |
| 17149 | Other | NY | MVP |
| 180045196 | Other | NY | RAILROAD MEDICARE |
| 409A91 | Other | NY | BLUE CROSS |
| 58812 | Other | NY | GHI HMO |
| 00652988 | Medicaid | NY | |
| 10006172 | Other | NY | CDPHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 134338 (New York) | Primary |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John W Simon, MD 920 Albany Shaker Rd, Suite 101, Latham, NY 12110 Ph: (518) 533-6502 | Dr John W Simon, MD 920 Albany Shaker Rd, Suite 101, Latham, NY 12110 Ph: (518) 533-6502 |
Dr. Gerard Patrick Barry, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 920 Albany Shaker Rd, Suite 101, Latham, NY 12110 Phone: 518-533-6502 Fax: 518-533-6505 | |
Dr. Zachary Joseph Roth, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 713 Troy Schenectady Rd, Suite 135, Latham, NY 12110 Phone: 518-782-7827 | |
Dr. Robert E Brass, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 713 Troy Schenectady Rd, Suite 135, Latham, NY 12110 Phone: 518-782-7827 Fax: 518-782-7820 | |
Mr. Peter G Kansas, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 24 Century Hill Dr, Suite 001, Latham, NY 12110 Phone: 518-690-2015 Fax: 518-690-0353 | |
Mr. Peter Joseph Ness, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 920 Albany Shaker Rd, Suite 101, Latham, NY 12110 Phone: 518-480-6216 Fax: 518-533-6505 | |
Dr. George O Stasior, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 930 Albany Shaker Rd, Suite 102, Latham, NY 12110 Phone: 518-220-1400 Fax: 518-220-1404 |