| Dr Joseph Genaro Mollura, | |
|
11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | |
| (315) 772-6094 | |
| Not Available |
| Full Name | Dr Joseph Genaro Mollura |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 11050 Mount Belvedere Blvd, Fort Drum, 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 |
|---|---|---|---|
| 1093024754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 289693-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Weirton Medical Center | Weirton, WV | Hospital |
| Heritage Valley Beaver | Beaver, PA | Hospital |
| Wheeling Hospital | Wheeling, WV | Hospital |
| Princeton Community Hospital | Princeton, WV | Hospital |
| Heritage Valley Sewickley | Sewickley, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fayette Physician Network Inc | 3375865819 | 192 |
| Brighton Radiology Associates P C | 4789585951 | 12 |
| Fayette Physician Network Inc | 3375865819 | 192 |
| Entity Name | Upmc/hvhs Cancer Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609843861 PECOS PAC ID: 8224022181 Enrollment ID: O20040413000957 |
| Entity Name | Brighton Radiology Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881672434 PECOS PAC ID: 4789585951 Enrollment ID: O20040507000822 |
| Entity Name | Fayette Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992107817 PECOS PAC ID: 3375865819 Enrollment ID: O20141211000851 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Genaro Mollura, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 Ph: (315) 772-6094 | Dr Joseph Genaro Mollura, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 Ph: (315) 772-6094 |
Dr. Neil Harry Sitenga Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-6094 | |
Dr. Robert Garfield Blackstock, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-4740 |