| Dr Kristina M Tervo, DO | |
|
153 W Genesee St, Chittenango, NY 13037-1528 | |
| (315) 687-5100 | |
| (315) 687-0252 |
| Full Name | Dr Kristina M Tervo |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 153 W Genesee St, Chittenango, 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 |
|---|---|---|---|
| 1659321024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 270560 (New York) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristina M Tervo, DO 153 W Genesee St, Chittenango, NY 13037-1528 Ph: (315) 687-5100 | Dr Kristina M Tervo, DO 153 W Genesee St, Chittenango, NY 13037-1528 Ph: (315) 687-5100 |
Anthony Vigliotti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1372 State Route 5, Chittenango Healthcare Center, Chittenango, NY 13037 Phone: 315-687-5100 Fax: 315-687-0252 | |
Erika C Lambert, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 Genesee Street, Chittenango, NY 13037 Phone: 315-687-6467 Fax: 315-251-2240 | |
Dr. Diane Sophia Ojugbeli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 Genesee St, Chittenango, NY 13037 Phone: 315-687-6467 Fax: 315-687-6041 | |
Dr. Joyce Tibbett, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 W Genesee St, Chittenango, NY 13037 Phone: 315-687-5100 Fax: 315-687-0252 |