| Richard H Sills, MD | |
|
750 E Adams St, Syracuse, NY 13210-2342 | |
| (315) 464-5294 | |
| (315) 464-7238 |
| Full Name | Richard H Sills |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Hematology-oncology |
| Location | 750 E Adams St, Syracuse, 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 |
|---|---|---|---|
| 1093701559 | NPI | - | NPPES |
| 00490437 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 120757-1 (New York) | Primary |
| Entity Name | Pediatric Service Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard H Sills, MD 750 E Adams St, Syracuse, NY 13210-2342 Ph: (315) 464-5294 | Richard H Sills, MD 750 E Adams St, Syracuse, NY 13210-2342 Ph: (315) 464-5294 |
Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923 | |
Dr. David William Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Phone: 315-464-5726 Fax: 315-464-2510 | |
Dr. Audrey Victoria Vandewall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-408-5854 | |
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030 | |
Dr. Faruk Oktem, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Irving Ave, Ste 805, Syracuse, NY 13210 Phone: 315-464-6340 Fax: 315-464-6329 | |
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322 | |
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420 |