| Martin T Noonan, MD | |
|
5417 W Genesee St Ste 3, Camillus, NY 13031-2177 | |
| (315) 476-2325 | |
| Not Available |
| Full Name | Martin T Noonan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 5417 W Genesee St Ste 3, Camillus, 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 |
|---|---|---|---|
| 1134235302 | NPI | - | NPPES |
| 01864800 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 210456 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home (liverpool) | Liverpool, NY | Home health agency |
| Nascentia Health At Home | Syracuse, NY | Home health agency |
| Crouse Hospital | Syracuse, NY | Hospital |
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crouse Medical Practice Pllc | 8426189622 | 171 |
| Entity Name | Syracuse Home Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396742482 PECOS PAC ID: 2769477157 Enrollment ID: O20040415001150 |
| Entity Name | St. Camillus Residential Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659396943 PECOS PAC ID: 5890765911 Enrollment ID: O20040727001378 |
| Entity Name | Crouse Medical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321934 PECOS PAC ID: 8426189622 Enrollment ID: O20100702000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin T Noonan, MD 1001 W Fayette St, Suite 400, Syracuse, NY 13204-2859 Ph: (315) 476-2323 | Martin T Noonan, MD 5417 W Genesee St Ste 3, Camillus, NY 13031-2177 Ph: (315) 476-2325 |
Dr. Okosun Edoro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 W Genesee St Ste 109, Camillus, NY 13031 Phone: 315-487-1573 Fax: 315-487-2418 | |
Margaret Spinosa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd Ste 20, Camillus, NY 13031 Phone: 315-708-0190 Fax: 315-488-3284 | |
Theodore Koh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0091 Fax: 315-708-0194 | |
Dr. Todd R. Lentz, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 5417 W Genesee St Ste 3, Camillus, NY 13031 Phone: 315-476-2323 Fax: 315-476-2438 | |
Scott A Edison, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0091 Fax: 315-708-0194 | |
Dr. John Sun, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0091 Fax: 315-708-0194 |