| Mr William B Richardson, MD | |
|
3 Curtis Road, Trivalley Family Practice Llc, Vernon, NY 13476-0275 | |
| (315) 829-2220 | |
| (315) 829-2014 |
| Full Name | Mr William B Richardson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3 Curtis Road, Vernon, 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 |
|---|---|---|---|
| 1457409617 | NPI | - | NPPES |
| 02879436 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 041817 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | 243766 (New York) | Primary |
| Entity Name | Eastport Health Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093752917 PECOS PAC ID: 3577592880 Enrollment ID: O20050808000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William B Richardson, MD Po Box 275, 3 Curtis Road Trivalley Family Practice Llc, Vernon, NY 13476-0275 Ph: (315) 829-2220 | Mr William B Richardson, MD 3 Curtis Road, Trivalley Family Practice Llc, Vernon, NY 13476-0275 Ph: (315) 829-2220 |
Matthew Siegenthaler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 | |
Mr. John A Wight, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 | |
Dr. Deborah Meester, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 | |
Erin W Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 | |
Dr. Lynne Marie Digennaro, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-2014 | |
Dr. Andrew Wight, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 |