| Dr Joseph Depra, MD | |
|
200 N Main St, Wayland, NY 14572-1034 | |
| (585) 728-5131 | |
| (585) 728-9305 |
| Full Name | Dr Joseph Depra |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 39 Years |
| Location | 200 N Main St, Wayland, 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 |
|---|---|---|---|
| 1851379929 | NPI | - | NPPES |
| 01282306 | Medicaid | NY | |
| 181792 | Other | NY | PREFERRED CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 181792-1 (New York) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 181792 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carefirst / Southern Tier Hospice And Palliative | Painted post, NY | Hospice |
| Livingston County Hospice | Mount morris, NY | Hospice |
| Nicholas H Noyes Memorial Hospital | Dansville, NY | Hospital |
| St James Mercy Hospital | Hornell, NY | Hospital |
| Strong Memorial Hospital | Rochester, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Family Medicine Program, Inc. | 4183699937 | 19 |
| Entity Name | Tri-county Family Medicine Program, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588649503 PECOS PAC ID: 4183699937 Enrollment ID: O20040826000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Depra, MD Po Box 601, 10869 Rte 36 South, Dansville, NY 14437-0601 Ph: (585) 335-3416 | Dr Joseph Depra, MD 200 N Main St, Wayland, NY 14572-1034 Ph: (585) 728-5131 |
Leah Marie Allen Hayward, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2870 State Route 21, Wayland, NY 14572 Phone: 585-728-2070 Fax: 585-728-9421 | |
Daniel Curtin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2870 State Route 21, Wayland, NY 14572 Phone: 585-728-2070 Fax: 585-728-9421 |