| James A Dellavalle, MD | |
|
33-57 Harrison St, Johnson City, NY 13790-2107 | |
| (607) 763-6412 | |
| (607) 763-5854 |
| Full Name | James A Dellavalle |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 49 Years |
| Location | 33-57 Harrison St, Johnson City, 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 |
|---|---|---|---|
| 1861489031 | NPI | - | NPPES |
| 00750789 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 158928 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 158928 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lourdes Hospital | Binghamton, NY | Hospital |
| Barnes-kasson County Hospital | Susquehanna, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 230 |
| Barnes-kasson County Hospital | 1355318635 | 10 |
| Entity Name | United Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Entity Name | Emergency Medicine Physicians Of Cortland County Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609816024 PECOS PAC ID: 6002802725 Enrollment ID: O20040420001468 |
| Mailing Address | Practice Location Address |
|---|---|
| James A Dellavalle, MD 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 763-6412 | James A Dellavalle, MD 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6412 |
John Peter Zevan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6611 Fax: 607-763-6411 | |
Dr. Shae Lynn Bolander, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 | |
Theodore M Petkov, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 | |
Abdullah Faiq, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Teresa A Sacco, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5854 | |
Dr. Christian Elijah Rosado, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Mustafa Ali Khan, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 |