| Jon Robert Vanderweele, DO | |
|
140 W 6th St, Oswego, NY 13126-2525 | |
| (315) 349-5826 | |
| (315) 349-5829 |
| Full Name | Jon Robert Vanderweele |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 22 Years |
| Location | 140 W 6th St, Oswego, 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 |
|---|---|---|---|
| 1598737801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 296514-01 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Physician Practice Pc | 6709007701 | 131 |
| Entity Name | Great Lakes Physician Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Robert Vanderweele, DO 140 W 6th St Ste 210, Oswego, NY 13126-2554 Ph: (315) 349-5828 | Jon Robert Vanderweele, DO 140 W 6th St, Oswego, NY 13126-2525 Ph: (315) 349-5826 |
Dr. David William Granoff, DO Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 140 W 6th St, Suite 180, Oswego, NY 13126 Phone: 315-343-5900 Fax: 315-343-5976 | |
Ms. Melanie Lynn Groch, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 140 W 6th St, Suite 210, Oswego, NY 13126 Phone: 315-349-5828 Fax: 315-349-5829 | |
Mr. Nicholas Richard Groch, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 140 W 6th St, Suite 210, Oswego, NY 13126 Phone: 315-349-5828 Fax: 315-349-5829 |