| Dr Michael P Morin, MD | |
|
6 Executive Park Dr, Albany, NY 12203-3791 | |
| (518) 641-6319 | |
| (518) 641-6850 |
| Full Name | Dr Michael P Morin |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 6 Executive Park Dr, Albany, 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 |
|---|---|---|---|
| 1396831764 | NPI | - | NPPES |
| 711043 | Other | NY | MVP |
| 72670 | Other | NY | GHI/HMO |
| 070123000054 | Other | NY | FIDELIS |
| 193AS1 | Other | NY | EMPIRE BC |
| 5002022 | Other | NY | AETNA |
| 000401053014 | Other | NY | BSNENY |
| 10006143 | Other | NY | CDPHP |
| 200094 | Other | NY | SENIOR WHOLE HEALTH |
| 01249834 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 177463 (New York) | Primary |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael P Morin, MD 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Dr Michael P Morin, MD 6 Executive Park Dr, Albany, NY 12203-3791 Ph: (518) 641-6319 |
Tamara Jennifer Wrzesinski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1092 Madison Ave, Albany, NY 12208 Phone: 518-525-2445 | |
Dr. Patricia Marie Hopkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-0218 Fax: 518-262-4933 | |
Dr. Kallanna Manjunath, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 920 Lark Dr, Albany, NY 12207 Phone: 518-465-4771 Fax: 518-242-4784 | |
Lisa Benay Kamerling, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1092 Madison Ave, St. Peter's Health Care For Children, Albany, NY 12208 Phone: 518-525-2445 Fax: 518-475-7069 | |
Michael T Colon, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 319 S Manning Blvd, Suite 203, Albany, NY 12208 Phone: 518-489-3292 Fax: 518-453-6286 | |
Sarah Kathleen Klaiber Sokil, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 103 Great Oaks Blvd, Albany, NY 12203 Phone: 518-464-1392 | |
Anita Catherine Saldanha, MD PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave, Department Of Pediatrics, Albany, NY 12208 Phone: 518-262-3095 |