| Michael J Maggiulli, MD | |
|
16 Bank St, Batavia, NY 14020-2250 | |
| (585) 815-6760 | |
| (585) 344-7370 |
| Full Name | Michael J Maggiulli |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 16 Bank St, Batavia, 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 |
|---|---|---|---|
| 1114015633 | NPI | - | NPPES |
| 0108596 | Other | INDEPENDENT HEALTH | |
| 0793 | Other | UNIVERA | |
| MDA129 | Other | PREFERRED CARE | |
| P010134751 | Other | RIPA | |
| P010134751 | Other | EXCELLUS | |
| 0000508058001 | Other | BC BS OF WNY | |
| 04481310 | Other | MEDICADE | |
| 22180 | Other | EMPIRE | |
| 7331260 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13475 (New York) | Secondary |
| 207Q00000X | Family Medicine | 134751 (New York) | Primary |
| Entity Name | United Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Maggiulli, MD 6966 W Bergen, Bergen, NY 14416 Ph: (585) 494-1300 | Michael J Maggiulli, MD 16 Bank St, Batavia, NY 14020-2250 Ph: (585) 815-6760 |
Dr. Rajinder Basra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 194 Washington Ave, Batavia, NY 14020 Phone: 585-345-1779 Fax: 585-345-1862 | |
Dr. Shan Paul Dhanda, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 Summit St, Batavia, NY 14020 Phone: 585-343-4440 | |
Brian Daniel Hendrickson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 E Main St, Batavia, NY 14020 Phone: 585-815-6760 Fax: 585-344-7370 | |
Dr. David Michael Newman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16 Bank St, Batavia, NY 14020 Phone: 585-344-4800 Fax: 585-344-7369 | |
Aditya Varambally, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Bank St, Batavia, NY 14020 Phone: 585-344-4800 | |
Lindsey Dalka, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Bank St, Batavia, NY 14020 Phone: 585-815-6760 Fax: 585-344-7370 |