| Penelope L Parris, MD | |
|
22 Red Jacket Street, Dansville, NY 14437-0491 | |
| (585) 335-5200 | |
| (585) 335-8579 |
| Full Name | Penelope L Parris |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 22 Red Jacket Street, Dansville, 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 |
|---|---|---|---|
| 1740317056 | NPI | - | NPPES |
| 02908161 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 245537 (New York) | Primary |
| Entity Name | Trillium Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861496358 PECOS PAC ID: 9931095007 Enrollment ID: O20040225000722 |
| Mailing Address | Practice Location Address |
|---|---|
| Penelope L Parris, MD 22 Red Jacket Street, Dansville, NY 14437-0491 Ph: (585) 335-5200 | Penelope L Parris, MD 22 Red Jacket Street, Dansville, NY 14437-0491 Ph: (585) 335-5200 |
Caitlin Albano, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 22 Red Jacket St, Dansville, NY 14437 Phone: 585-335-5200 | |
Deanna Lyons, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Red Jacket St, Dansville, NY 14437 Phone: 585-335-5200 Fax: 585-335-5037 | |
Dr. David H Breen, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 36 Elizabeth St, Dansville, NY 14437 Phone: 585-335-2030 Fax: 585-235-2035 | |
Dr. Jason Elwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 Red Jacket St, Stony Brook Pediatrics, Dansville, NY 14437 Phone: 585-335-5200 Fax: 585-335-5037 | |
Ms. Kathryn Anesa Bennett, PNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Red Jacket Street, Dansville, NY 14437 Phone: 585-335-5200 Fax: 585-335-5037 | |
Dianne Rapp, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22 Red Jacket St, Dansville, NY 14437 Phone: 585-335-5200 Fax: 585-335-5037 |