| Dr Richard Andrew Carlson Jr, MD | |
|
1491 Sheridan Dr, Sheridan Medical Group, Tonawanda, NY 14217-1234 | |
| (716) 332-4476 | |
| (716) 332-4479 |
| Full Name | Dr Richard Andrew Carlson Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 47 Years |
| Location | 1491 Sheridan Dr, Tonawanda, 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 |
|---|---|---|---|
| 1740246735 | NPI | - | NPPES |
| 01226122 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 183745 (New York) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 183745 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcauley Seton Home Care Corp Chha | Buffalo, NY | Home health agency |
| Amedisys Home Health Care (amherst) | Amherst, NY | Home health agency |
| Kaleida Health | Buffalo, NY | Hospital |
| Kenmore Mercy Hospital | Kenmore, NY | Hospital |
| Sisters Of Charity Hospital | Buffalo, NY | Hospital |
| Elderwood At Amherst | Amherst, NY | Nursing home |
| Schofield Residence | Kenmore, NY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geriatric Associates, Llp | 8426944851 | 5 |
| Sheridan Drive Medical Group Llp | 8820900376 | 8 |
| Entity Name | Sheridan Drive Medical Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679684625 PECOS PAC ID: 8820900376 Enrollment ID: O20031103000549 |
| Entity Name | Geriatric Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750348306 PECOS PAC ID: 8426944851 Enrollment ID: O20040224000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Andrew Carlson Jr, MD 1491 Sheridan Dr, Tonawanda, NY 14217-1234 Ph: (716) 332-4476 | Dr Richard Andrew Carlson Jr, MD 1491 Sheridan Dr, Sheridan Medical Group, Tonawanda, NY 14217-1234 Ph: (716) 332-4476 |
Nadia Polataiko, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Two Mile Creek Rd, Tonawanda, NY 14150 Phone: 716-447-6450 Fax: 716-447-6486 | |
Ayesha Zaheer Butt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Two Mile Creek Rd, Tonawanda, NY 14150 Phone: 716-447-6450 | |
Paul Brian Hart, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 533 Niagara St, Tonawanda, NY 14150 Phone: 716-743-5450 | |
Denise M. Callari, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Colvin Woods Pkwy, Tonawanda, NY 14150 Phone: 716-448-0907 | |
Dr. Syed Eajaz Haq, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 474 Niagara Falls Blvd, Suite4, Tonawanda, NY 14223 Phone: 716-833-3697 Fax: 716-833-3698 | |
Dr. Dominic J Cirillo, M.D., PH.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 175 Briarhurst Dr, Tonawanda, NY 14150 Phone: 319-321-5451 Fax: 844-373-1861 | |
Dr. Anthony F Perna, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Colvin Blvd, Tonawanda, NY 14223 Phone: 716-874-4060 Fax: 716-871-1198 |