| Quentin Wandyke Johnson, MD | |
|
6514 State Route 26, Rome, NY 13440-8079 | |
| (315) 339-5232 | |
| (315) 339-3698 |
| Full Name | Quentin Wandyke Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 6514 State Route 26, Rome, 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 |
|---|---|---|---|
| 1124257886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD296906 (New York) | Primary |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Entity Name | Primary Care Metabolic Disorders Medical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942833835 PECOS PAC ID: 5799116737 Enrollment ID: O20200507002164 |
| Mailing Address | Practice Location Address |
|---|---|
| Quentin Wandyke Johnson, MD 6514 State Route 26, Rome, NY 13440-8079 Ph: (315) 339-5232 | Quentin Wandyke Johnson, MD 6514 State Route 26, Rome, NY 13440-8079 Ph: (315) 339-5232 |
Ms. Antonina Louise Calcavecchio, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1617 N James St, Rome, NY 13440 Phone: 315-336-8260 | |
Dr. Aysen Gurrea, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-338-7000 | |
Nicoletta Tallandini Cotronea, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 N George St, Rome, NY 13440 Phone: 315-336-8260 Fax: 315-314-8536 | |
Michael S Parslow, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-338-7184 Fax: 315-339-1975 | |
Anthony J Viglietta, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 125 Brookley Rd, Rome, NY 13441 Phone: 315-334-7100 | |
Gibran Tallim, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Black River Blvd N, Rome, NY 13440 Phone: 315-337-3770 |