| Luis Ivan Canales, MD | |
|
181 Maple Street, Suite C, Massena, NY 13662 | |
| (315) 769-1667 | |
| (315) 769-6430 |
| Full Name | Luis Ivan Canales |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 41 Years |
| Location | 181 Maple Street, Massena, 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 |
|---|---|---|---|
| 1518969260 | NPI | - | NPPES |
| 01794976 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 208001 (New York) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 208001 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Massena Hospital Inc | 1456781491 | 44 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Massena Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972604460 PECOS PAC ID: 1456781491 Enrollment ID: O20200515000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Ivan Canales, MD Po Box 217, Massena, NY 13662-0217 Ph: (315) 769-1667 | Luis Ivan Canales, MD 181 Maple Street, Suite C, Massena, NY 13662 Ph: (315) 769-1667 |
Birinder S Singh, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr Fl 3, Massena, NY 13662 Phone: 315-769-1111 Fax: 315-769-1118 | |
Joanne Wilson Cichetti, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 38 Hospital Dr, Massena, NY 13662 Phone: 315-764-1121 Fax: 855-279-7911 | |
Dr. Neil Joseph Cichetti, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 38 Hospital Dr, North Country Adult Medicine, Massena, NY 13662 Phone: 315-764-1121 Fax: 315-764-1972 | |
Priti V Mandalaywala, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Massena, NY 13662 Phone: 315-769-4644 Fax: 315-842-3050 | |
Mrs. Mukta Gupta, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 31 Hospital Dr, Massena, NY 13662 Phone: 315-769-1099 Fax: 315-769-1077 | |
Dr. Jayant J Jhaveri, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 267 Andrews St, St. Lawrence Internists, Massena, NY 13662 Phone: 315-764-0221 Fax: 315-764-1395 |