| Katherine Heiss Zang, MD | |
|
110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | |
| (607) 255-6106 | |
| (607) 254-3503 |
| Full Name | Katherine Heiss Zang |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 110 Ho Plaza, Ithaca, 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 |
|---|---|---|---|
| 1720077563 | NPI | - | NPPES |
| 21183759 | Medicaid | NM | |
| 88559068 | Medicaid | CO | |
| 945587 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD20050193 (New Mexico) | Primary |
| Entity Name | Dhhs Phs Naihs Shiprock Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
| Entity Name | Santa Fe Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613836 PECOS PAC ID: 7719883289 Enrollment ID: O20031208000627 |
| Entity Name | San Felipe Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831274851 PECOS PAC ID: 8426954819 Enrollment ID: O20031208000761 |
| Entity Name | Santa Clara Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043396377 PECOS PAC ID: 4981591922 Enrollment ID: O20040303000820 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Heiss Zang, MD 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 Ph: (607) 255-6106 | Katherine Heiss Zang, MD 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 Ph: (607) 255-6106 |
David Wentzel, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Cornell University Health Services, Ho Plaza, Ithaca, NY 14853 Phone: 607-255-6946 Fax: 607-254-3503 | |
Douglas Michael Zang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 302 W Seneca St, Ithaca, NY 14850 Phone: 607-697-0360 Fax: 607-272-0240 | |
Dr. David Eric Ristedt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850 Phone: 607-257-5858 | |
Sharon L Ziegler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 W State St, Attn: Bob Bloom, Ithaca, NY 14850 Phone: 607-277-4341 Fax: 607-216-0902 | |
Sarah Wineholt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 W Seneca St, Ithaca, NY 14850 Phone: 607-697-0360 Fax: 607-272-0240 | |
Matthew S Ujevich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850 Phone: 607-257-5858 | |
Meredith Sax Bourne, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Willow Ave, Ithaca, NY 14850 Phone: 607-219-4600 |