| Edward C Tanner, MD | |
|
1445 Portland Ave, Suite 210, Rochester, NY 14621 | |
| (585) 266-2583 | |
| (585) 266-5363 |
| Full Name | Edward C Tanner |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1445 Portland Ave, Rochester, 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 |
|---|---|---|---|
| 1295744324 | NPI | - | NPPES |
| P010140275 | Other | BLUE CHOICE | |
| 00593559 | Medicaid | NY | |
| 102336C4 | Other | PREFERRED CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 1402751 (New York) | Primary |
| 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 | St Anns Nursing Home Company, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740216050 PECOS PAC ID: 7517908635 Enrollment ID: O20050519000248 |
| Entity Name | St Anns Home For The Aged |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067168 PECOS PAC ID: 5092758938 Enrollment ID: O20050602000333 |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward C Tanner, MD 1445 Portland Ave, Suite 210, Rochester, NY 14621 Ph: (585) 266-2583 | Edward C Tanner, MD 1445 Portland Ave, Suite 210, Rochester, NY 14621 Ph: (585) 266-2583 |
Dr. Susan Elizabeth Nelson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Rochester, NY 14625 Phone: 585-275-1395 Fax: 585-276-1897 | |
Dr. Christopher J Drinkwater, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box 665, Rochester, NY 14642 Phone: 585-341-0522 Fax: 585-341-0600 | |
Dr. Raymond J Stefanich, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2410 Ridgeway Ave, Rochester, NY 14626 Phone: 585-723-2842 Fax: 585-723-6877 | |
Evan Mark Miller, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2619 Culver Rd Ste 2a, Rochester, NY 14609 Phone: 585-342-2410 | |
John P Ketz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-273-3126 Fax: 585-273-3126 | |
Dr. Judith F Baumhauer, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Box 665, Rochester, NY 14642 Phone: 585-275-5933 Fax: 585-756-4725 | |
Mr. Andrew Megas, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Miracle Mile Dr, Rochester, NY 14642 Phone: 585-276-1020 |