| James K Obrien, MD | |
|
179 N Broad St, Norwich, NY 13815-1019 | |
| (607) 337-4215 | |
| (607) 337-4102 |
| Full Name | James K Obrien |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 40 Years |
| Location | 179 N Broad St, Norwich, 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 |
|---|---|---|---|
| 1326233511 | NPI | - | NPPES |
| 0009737 | Medicaid | VT | |
| 11V069 | Other | VT | MVP |
| 8369 | Other | VT | BC/BS OF VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 8121 (Vermont) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 168234 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Regional Medical Center | Newport news, VA | Hospital |
| Riverside Doctors' Hospital Of Williamsburg | Williamsburg, VA | Hospital |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Physician Services Inc | 5092608448 | 713 |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Mailing Address | Practice Location Address |
|---|---|
| James K Obrien, MD 179 N Broad St, Norwich, NY 13815-1019 Ph: (607) 337-4215 | James K Obrien, MD 179 N Broad St, Norwich, NY 13815-1019 Ph: (607) 337-4215 |
Dr. Joseph Petro, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4111 | |
Dr. James R Simcoe, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4056 | |
Mustaq A Sheikh, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4111 Fax: 607-337-4049 | |
Dr. John R. Brereton, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4215 Fax: 607-337-4102 | |
James Sam Wood, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4040 Fax: 607-337-4076 | |
Dr. John Norbert Cruz, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 24 Conkey Ave, Norwich, NY 13815 Phone: 607-336-8965 Fax: 607-336-9097 |