| Jorge M Davidenko, MD FACC | |
|
134 Homer Ave, Cortland, NY 13045-1206 | |
| (607) 756-3561 | |
| (607) 428-5142 |
| Full Name | Jorge M Davidenko |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 50 Years |
| Location | 134 Homer Ave, Cortland, 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 |
|---|---|---|---|
| 1215923990 | NPI | - | NPPES |
| 01979708 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 196572 (New York) | Primary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | 196572 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guthrie Cortland Regional Medical Center | Cortland, NY | Hospital |
| Robert Packer Hospital | Sayre, PA | Hospital |
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Corning Hospital | Corning, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guthrie Medical Group Pc | 6002728656 | 795 |
| Entity Name | Guthrie Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Entity Name | Department of Medicine Medical Serv Grp at Suny Hlth Sci Ctr Syr in |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
| Entity Name | St Josephs Hospital Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508815333 PECOS PAC ID: 9234043324 Enrollment ID: O20031113000400 |
| Entity Name | St Josephs Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge M Davidenko, MD FACC 134 Homer Ave, Po Box 628, Cortland, NY 13045-1206 Ph: (607) 756-3561 | Jorge M Davidenko, MD FACC 134 Homer Ave, Cortland, NY 13045-1206 Ph: (607) 756-3561 |
Dr. Ngozi C Mezu, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-428-2800 Fax: 607-428-2803 |
Dr. Stuart William Gillim, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1969 Timmerman Hill Rd., Cortland, NY 13045 Phone: 607-835-6570 |
Dr. Elyn L Ring, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6 Euclid Ave, Cortland, NY 13045 Phone: 607-756-4974 |
Marcelo Guillmero Gareca, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11 Alvena Ave, Cortland, NY 13045 Phone: 607-428-5701 |
Taseer Ahmad Cheema, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-428-5074 Fax: 607-758-8210 |
Dr. Jared Michael Widell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Guthrie Cortland Medical Center, 134 Homer Avenue, Cortland, NY 13045 Phone: 607-756-3561 Fax: 607-756-3562 |
Mr. Clay J Vandoren, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-428-5074 Fax: 607-428-5077 |