| Dr Krishna Vijay Persaud, MD | |
|
4418 E Ridge Rd, Williamson Medical Pllc, Williamson, NY 14589-9375 | |
| (315) 589-4641 | |
| (315) 589-9585 |
| Full Name | Dr Krishna Vijay Persaud |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 4418 E Ridge Rd, Williamson, 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 |
|---|---|---|---|
| 1508829284 | NPI | - | NPPES |
| 01535859 | Medicaid | NY | |
| 102914AA | Other | NY | PREFERRED CARE ALLERGY |
| 102914BJ | Other | NY | PREFERRED CARE IM |
| 030000058 | Other | NY | BLUE CHOICE ALLERGY |
| 010000058 | Other | NY | BLUE CHOICE IM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 205585 (New York) | Secondary |
| 207R00000X | Internal Medicine | 205585 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifetime Care Chha | Rochester, NY | Home health agency |
| Strong Memorial Hospital | Rochester, NY | Hospital |
| Rochester General Hospital | Rochester, NY | Hospital |
| Newark-wayne Community Hospital | Newark, NY | Hospital |
| Clifton Springs Hospital And Clinic | Clifton springs, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Strong Medical Group | 6608850987 | 28 |
| Entity Name | Strong Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184664948 PECOS PAC ID: 6608850987 Enrollment ID: O20040615000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Krishna Vijay Persaud, MD 4418 E Ridge Rd, Williamson, NY 14589-9375 Ph: (315) 589-4641 | Dr Krishna Vijay Persaud, MD 4418 E Ridge Rd, Williamson Medical Pllc, Williamson, NY 14589-9375 Ph: (315) 589-4641 |
Pratyusha Nunna, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4418 Ridge Rd Ste 1, Williamson, NY 14589 Phone: 315-589-4641 |