| Dr Richard Yan, MD | |
| 700 Mcclellan St, Schenectady, NY 12304-1019 | |
| (518) 372-5637 | |
| (518) 355-3996 | 
| Full Name | Dr Richard Yan | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 700 Mcclellan St, Schenectady, 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 | 
|---|---|---|---|
| 1306959812 | NPI | - | NPPES | 
| 10031234 | Other | NY | CDPHP | 
| 200182 | Other | NY | SENIOR WHOLE HEALTH | 
| 070124000080 | Other | NY | FIDELIS | 
| 26256 | Other | NY | MVP | 
| 01160232 | Medicaid | NY | |
| 000493509001 | Other | NY | BSNENY | 
| 47371 | Other | NY | GHI/HMO | 
| 7845588 | Other | NY | AETNA | 
| 571281 | Other | NY | EMPIRE BC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 161257 (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 Richard Yan, MD 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Dr Richard Yan, MD 700 Mcclellan St, Schenectady, NY 12304-1019 Ph: (518) 372-5637 | 
| Hadi Koohsari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Union St, Schenectady, NY 12305 Phone: 518-374-1610 Fax: 518-374-3512 | |
| Dr. Michael Paul Sonnekalb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
| Stephanie B. Evans, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1044 State St, Schenectady, NY 12307 Phone: 518-370-1441 Fax: 518-395-9431 | |
| Dr. James David Saperstone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
| Dr. Margaret M Woods, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-372-5637 Fax: 518-372-1384 | |
| Kathleen Shanley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 |