| Dr Samuel Urrutia Fraguada, MD | |
|
833 Canandaigua Rd, Geneva, NY 14456-2015 | |
| (315) 787-5155 | |
| (315) 787-5151 |
| Full Name | Dr Samuel Urrutia Fraguada |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 5 Years |
| Location | 833 Canandaigua Rd, Geneva, 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 |
|---|---|---|---|
| 1982280525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 340961 (New York) | Primary |
| 207R00000X | Internal Medicine | MD61526346 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Skagit Valley Hospital | Mount vernon, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Sound Inpatient Physicians Pllc | 5991618738 | 381 |
| Entity Name | South Sound Inpatient Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Urrutia Fraguada, MD 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: () - | Dr Samuel Urrutia Fraguada, MD 833 Canandaigua Rd, Geneva, NY 14456-2015 Ph: (315) 787-5155 |
Amanda Laine Bennett, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 North St Ste 101, Geneva, NY 14456 Phone: 315-787-5175 | |
Dr. William Porter Welbourne, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 North St, Suite 102, Geneva, NY 14456 Phone: 315-787-5400 Fax: 315-787-5475 | |
Angel A. Diaz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 821 Pre Emption Rd Ste 300, Geneva, NY 14456 Phone: 315-787-5310 Fax: 315-787-5314 | |
Rachael Beth Johengen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 196 North St, Geneva, NY 14456 Phone: 315-787-4000 | |
Dr. Margaret Mary Ameyaw, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 196 North Street, Geneva, NY 14456 Phone: 315-787-4303 | |
Dr. Raquel Reyes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601b W Washington St, Geneva, NY 14456 Phone: 315-781-8448 Fax: 315-781-8444 | |
Dr. David Cywinski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Pre Emption Rd, Geneva, NY 14456 Phone: 315-798-5061 |