| Peer A Soderberg, MD | |
|
5566 Jordan Rd, Elbridge, NY 13060-9617 | |
| (315) 689-1833 | |
| (315) 689-1834 |
| Full Name | Peer A Soderberg |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 5566 Jordan Rd, Elbridge, 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 |
|---|---|---|---|
| 1316926397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 211509 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home (liverpool) | Liverpool, NY | Home health agency |
| Hospice Of Central New York | Liverpool, NY | Hospice |
| Auburn Community Hospital | Auburn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Familycare Medical Group Pc | 5193639565 | 109 |
| Entity Name | Familycare Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447212063 PECOS PAC ID: 5193639565 Enrollment ID: O20031119000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Peer A Soderberg, MD 1001 W Fayette St, Ste 400, Syracuse, NY 13204-2859 Ph: (315) 472-1488 | Peer A Soderberg, MD 5566 Jordan Rd, Elbridge, NY 13060-9617 Ph: (315) 689-1833 |
Karin G Kroeger, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5566 Jordan Rd, Elbridge, NY 13060 Phone: 315-689-1833 Fax: 315-689-1834 | |
William Scott Allyn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5566 Jordan Rd, Elbridge, NY 13060 Phone: 315-689-1833 Fax: 315-689-1834 |