Dr Manola A Basa, MD | |
7603 Route 54, Bath, NY 14810-7930 | |
(607) 776-4176 | |
(607) 776-1783 |
Full Name | Dr Manola A Basa |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 7603 Route 54, Bath, 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 |
---|---|---|---|
1144222316 | NPI | - | NPPES |
00358943 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 137012 (New York) | Primary |
Entity Name | Delphi Hospitalist Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922270420 PECOS PAC ID: 5395819478 Enrollment ID: O20080807000352 |
Entity Name | Delphi Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003075029 PECOS PAC ID: 9537229661 Enrollment ID: O20081119000839 |
Mailing Address | Practice Location Address |
---|---|
Dr Manola A Basa, MD 7603 Route 54, Bath, NY 14810-7930 Ph: (607) 776-4176 | Dr Manola A Basa, MD 7603 Route 54, Bath, NY 14810-7930 Ph: (607) 776-4176 |
Dr. Robert Esmonde Cole, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7575 State Route 54, Bath, NY 14810 Phone: 607-776-7357 Fax: 607-776-7129 | |
Dr. Philip L Harris, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7571 State Route 54, Bath, NY 14810 Phone: 607-776-8714 Fax: 607-776-8631 |