| Peter Santa Lucia, MD | |
| 3900 N Buffalo St, Orchard Park, NY 14127-1842 | |
| (716) 656-4497 | |
| (716) 648-1552 | 
| Full Name | Peter Santa Lucia | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology - Procedural Dermatology | 
| Location | 3900 N Buffalo St, Orchard Park, 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 | 
|---|---|---|---|
| 1578561247 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 195166 (New York) | Primary | 
| Entity Name | Brummitte Dale Wilson | 
|---|---|
| Entity Type | Practitioner - Dermatology | 
| Entity Identifiers | NPI Number: 1245237288 PECOS PAC ID: 1658411251 Enrollment ID: I20091211000501 | 
| Entity Name | Buffalo Medical Group, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Peter Santa Lucia, MD 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219 | Peter Santa Lucia, MD 3900 N Buffalo St, Orchard Park, NY 14127-1842 Ph: (716) 656-4497 | 
| Paul Joseph Wirth,  Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-656-4477 | |
| Brummitte Dale Wilson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-656-4494 Fax: 716-648-1552 | |
| Dr. Laura Ureta, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3345 Southwestern Blvd, Orchard Park, NY 14127 Phone: 716-656-4899 Fax: 716-250-5929 | |
| Dr. Jenna Lyn O'neill, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3900 North Buffalo Road, Buffalo Medical Group, Orchard Park, NY 14127 Phone: 716-656-4829 Fax: 716-250-5934 | |
| Dr. Cornelie M. Jones, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-648-2770 Fax: 716-648-1552 | |
| Dr. Peter Accetta, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3045 Southwestern Blvd Ste 104, Orchard Park, NY 14127 Phone: 716-675-7000 Fax: 716-674-4630 |