| Maranda Sullivan, | |
|
1555 Long Pond Rd, Rochester, NY 14626-4164 | |
| (588) 368-4570 | |
| Not Available |
| Full Name | Maranda Sullivan |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 1555 Long Pond Rd, Rochester, 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 |
|---|---|---|---|
| 1578095998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | OT017810 (Pennsylvania) | Secondary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 329092 (New York) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Maranda Sullivan, 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: () - | Maranda Sullivan, 1555 Long Pond Rd, Rochester, NY 14626-4164 Ph: (588) 368-4570 |
Tamar Inez Hunse, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2337 Ridgeway Ave, Rochester, NY 14626 Phone: 585-225-6680 Fax: 585-225-3472 | |
Dr. Karen Duguid, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1820 S Clinton Ave, Rochester, NY 14618 Phone: 585-473-2846 Fax: 585-473-3098 | |
Dr. Kathleen Robischon, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 990 South Ave, Suite 315, Rochester, NY 14620 Phone: 585-232-3210 Fax: 585-232-4657 | |
Carl L. Christie, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1415 Portland Ave Ste 220, Rochester, NY 14621 Phone: 585-922-4496 Fax: 585-922-4442 | |
Derek Jon Tenhoopen, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3101 Ridge Rd W, Building D, Rochester, NY 14626 Phone: 585-225-1580 Fax: 585-225-2040 | |
Dr. Katina Marie Foster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 990 South Ave, Suite 104, Rochester, NY 14620 Phone: 585-256-3000 Fax: 585-256-3045 | |
Erin M Masaba, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 Red Creek Dr, Suite 220, Rochester, NY 14623 Phone: 585-487-3378 |