| Edmund J Roache, MD | |
|
200 Mullin St, Watertown, NY 13601-3619 | |
| (315) 785-8591 | |
| (315) 782-4475 |
| Full Name | Edmund J Roache |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 45 Years |
| Location | 200 Mullin St, Watertown, 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 |
|---|---|---|---|
| 1780636704 | NPI | - | NPPES |
| 00772743 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 153941 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellness Physician Care Pllc | 3971514365 | 4 |
| Entity Name | Wellness Physician Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114979598 PECOS PAC ID: 3971514365 Enrollment ID: O20060524000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund J Roache, MD 200 Mullin St, #102, Watertown, NY 13601-3619 Ph: (315) 782-4475 | Edmund J Roache, MD 200 Mullin St, Watertown, NY 13601-3619 Ph: (315) 785-8591 |
Dr. Laura Ellen Boggs, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 53-59 Public Square, Suite 301, Watertown, NY 13601 Phone: 315-782-2141 Fax: 315-782-5123 | |
Dr. Shripad Brahmanand Pande, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4000 Fax: 412-432-7480 | |
Mr. Marco Alfredo Campitelli, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4000 | |
Dr. Maksim Liaukovich, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4673 Fax: 315-788-4248 | |
Charles F Romano, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 531 Washington St, Watertown, NY 13601 Phone: 315-788-7990 Fax: 315-788-4248 | |
Dr. Melissa Youssef Beshay, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-786-7300 Fax: 315-786-7310 | |
Thiru Singam, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-779-5298 Fax: 315-779-5295 |