| Dr Tamara Ann Prull, MD | |
|
191 N Main St, Wellsville, NY 14895-1150 | |
| (585) 247-6810 | |
| (315) 589-9406 |
| Full Name | Dr Tamara Ann Prull |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 191 N Main St, Wellsville, 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 |
|---|---|---|---|
| 1083659106 | NPI | - | NPPES |
| P00203836 | Other | NY | RRM LEGACY |
| P00393355 | Other | NY | RAILROAD |
| 02390949 | Medicaid | NY | |
| 000527179003 | Other | NY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 214246-1 (New York) | Primary |
| Entity Name | Geneva General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487797080 PECOS PAC ID: 7810809407 Enrollment ID: O20031103000307 |
| Entity Name | Soldiers & Sailors Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043353618 PECOS PAC ID: 0446164255 Enrollment ID: O20031117000348 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Newark Wayne Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
| Entity Name | United Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tamara Ann Prull, MD 3388 Ridge Rd, Williamson, NY 14589-9352 Ph: (315) 589-9657 | Dr Tamara Ann Prull, MD 191 N Main St, Wellsville, NY 14895-1150 Ph: (585) 247-6810 |
Dr. Chiemeka Joseph Nwokonko, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 191 N Main St, Wellsville, NY 14895 Phone: 585-247-6810 Fax: 315-589-9406 | |
Dr. Carmen Jay Ellie Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 191 N Main St, Wellsville, NY 14895 Phone: 585-235-1514 Fax: 585-426-4997 |