| Dr Robert Stall, MD | |
|
97 King Anthony Way, Getzville, NY 14068-1413 | |
| (716) 861-1312 | |
| (888) 976-5853 |
| Full Name | Dr Robert Stall |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 97 King Anthony Way, Getzville, 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 |
|---|---|---|---|
| 1205822202 | NPI | - | NPPES |
| 01207083-2 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 163872-1 (New York) | Primary |
| Entity Name | Stall Senior Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104087915 PECOS PAC ID: 2365515384 Enrollment ID: O20080723000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Stall, MD 97 King Anthony Way, Getzville, NY 14068-1413 Ph: (716) 861-1312 | Dr Robert Stall, MD 97 King Anthony Way, Getzville, NY 14068-1413 Ph: (716) 861-1312 |
Lisa Benson, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 N Forest Rd, Getzville, NY 14068 Phone: 716-639-3311 | |
Joseph Mylotte, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 N Forest Rd, Getzville, NY 14068 Phone: 716-639-3311 | |
Dr. James Francis Swiencicki Jr., M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Millersport Hwy Ste 100, Getzville, NY 14068 Phone: 716-204-5933 Fax: 716-204-5934 | |
Dr. Sylvia Helen Regalla, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1425 Dodge Rd, Getzville, NY 14068 Phone: 716-636-8423 Fax: 716-636-9028 | |
Mr. William Michael Healy, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2235 Millersport Hwy Ste 100, Getzville, NY 14068 Phone: 716-204-5933 Fax: 716-204-5934 |