| Marc Sadovnic, MD | |
|
200 North St, Suite 101, Geneva, NY 14456-1561 | |
| (315) 787-5100 | |
| (315) 787-5108 |
| Full Name | Marc Sadovnic |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 200 North St, Geneva, 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 |
|---|---|---|---|
| 1245313899 | NPI | - | NPPES |
| P00003459 | Other | NY | R.R. MEDICARE |
| P010190338 | Other | NY | BLUE SHIELD |
| 101434BJ | Other | NY | PREFERRED CARE |
| 190338-4 | Other | NY | WORKER'S COMP |
| 3399647 | Other | NY | GHI |
| 1372976 | Medicaid | NY | |
| P010190338 | Other | NY | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 190338 (New York) | Primary |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Sadovnic, MD 200 North St, Suite 101, Geneva, NY 14456-1561 Ph: (315) 787-5100 | Marc Sadovnic, MD 200 North St, Suite 101, Geneva, NY 14456-1561 Ph: (315) 787-5100 |
Amanda Laine Bennett, MD Nephrology Medicare: Medicare Enrolled Practice Location: 200 North St Ste 101, Geneva, NY 14456 Phone: 315-787-5175 | |
Dr. William Porter Welbourne, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 200 North St, Suite 102, Geneva, NY 14456 Phone: 315-787-5400 Fax: 315-787-5475 | |
Angel A. Diaz, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 821 Pre Emption Rd Ste 300, Geneva, NY 14456 Phone: 315-787-5310 Fax: 315-787-5314 | |
Rachael Beth Johengen, DO Nephrology Medicare: Medicare Enrolled Practice Location: 196 North St, Geneva, NY 14456 Phone: 315-787-4000 | |
Dr. Margaret Mary Ameyaw, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 196 North Street, Geneva, NY 14456 Phone: 315-787-4303 | |
Dr. Raquel Reyes, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 601b W Washington St, Geneva, NY 14456 Phone: 315-781-8448 Fax: 315-781-8444 | |
Dr. David Cywinski, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 875 Pre Emption Rd, Geneva, NY 14456 Phone: 315-798-5061 |