| Dr Philip C James, MD | |
|
4 Carpenter Lane, Saratoga Springs, NY 12866 | |
| (518) 587-3823 | |
| (518) 587-6677 |
| Full Name | Dr Philip C James |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4 Carpenter Lane, Saratoga Springs, 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 |
|---|---|---|---|
| 1821021775 | NPI | - | NPPES |
| 10050383 | Other | NY | CDPHP |
| 26952 | Other | NY | MVP HEALTH PLAN |
| 02099989 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 219307 (New York) | Primary |
| Entity Name | St. Mary's Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518926401 PECOS PAC ID: 7618960709 Enrollment ID: O20040405001628 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip C James, MD Po Box 141, 154 Warren Street, Glens Falls, NY 12801 Ph: (518) 798-9985 | Dr Philip C James, MD 4 Carpenter Lane, Saratoga Springs, NY 12866 Ph: (518) 587-3823 |
Dr. Cecilia P. Ruelos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 381 Church Street, Second Floor, Saratoga Springs, NY 12866 Phone: 518-306-5292 Fax: 518-306-5292 | |
Dr. Alex Gregory Villanueva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4 Carpenter Ln, Saratoga Springs, NY 12866 Phone: 518-587-3823 | |
Mrs. Stephanie A Messercola, RPA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4 Carpenter Lane, Saratoga Springs, NY 12866 Phone: 518-857-3853 Fax: 518-587-6677 | |
Sudha Singh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30 Gick Rd, Saratoga Springs, NY 12866 Phone: 518-871-1885 Fax: 518-871-1886 |