| Dr Zachary Mark Mashaw, MD | |
|
921 State St, Ogdensburg, NY 13669-3347 | |
| (315) 393-9268 | |
| (315) 393-3541 |
| Full Name | Dr Zachary Mark Mashaw |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 921 State St, Ogdensburg, 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 |
|---|---|---|---|
| 1912499146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 304188 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Health Services Of Northern New York Inc Chha | Potsdam, NY | Home health agency |
| Northern Lights Home Health Care | Canton, NY | Home health agency |
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Gouverneur Hospital | Gouverneur, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ogdensburg Family Practice Llc | 2365669249 | 3 |
| Entity Name | Ogdensburg Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699183806 PECOS PAC ID: 2365669249 Enrollment ID: O20140818000808 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zachary Mark Mashaw, MD 921 State St, Ogdensburg, NY 13669-3347 Ph: (315) 393-9268 | Dr Zachary Mark Mashaw, MD 921 State St, Ogdensburg, NY 13669-3347 Ph: (315) 393-9268 |
Mrs. Tracy Lynn Laflair, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1107 Linden St, Ogdensburg, NY 13669 Phone: 315-393-0797 Fax: 315-393-0529 | |
Dr. Ravinder N Agarwal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 206 Ford St, Ogdensburg, NY 13669 Phone: 315-393-1164 | |
Nupur Nagrare, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Horwood Pl, Ogdensburg, NY 13669 Phone: 315-394-9462 Fax: 315-713-5291 | |
Dr. Mark Murad Chalom, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1231 Congress St, Ogdensburg, NY 13669 Phone: 315-393-2295 Fax: 315-393-9604 |