| Robert L Daniels, MD | |
|
400 Foote Ave, Jamestown, NY 14701-6800 | |
| (716) 484-9194 | |
| (716) 484-0115 |
| Full Name | Robert L Daniels |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 49 Years |
| Location | 400 Foote Ave, Jamestown, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376504068 | NPI | - | NPPES |
| 00623143 | Medicaid | NY | |
| 00010262101 | Other | NY | UNIVERA |
| 000508563001 | Other | NY | BC/BS OF WNY |
| 040426003855 | Other | NY | FIDELIS CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 131973 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lane Women's Health Group Pc | 0143365668 | 5 |
| Great Lakes Physician Practice Pc | 6709007701 | 131 |
| Entity Name | Lane Women's Health Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265760235 PECOS PAC ID: 0143365668 Enrollment ID: O20100308000583 |
| Entity Name | Great Lakes Physician Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Daniels, MD 400 Foote Ave, Jamestown, NY 14701-6800 Ph: (716) 484-9194 | Robert L Daniels, MD 400 Foote Ave, Jamestown, NY 14701-6800 Ph: (716) 484-9194 |
Nancy A Allen, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 400 Foote Ave, Jamestown, NY 14701 Phone: 716-484-9194 Fax: 716-484-0115 | |
Katelyn Edel, MD, MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 17 Sherman St Ste 2100, Jamestown, NY 14701 Phone: 716-644-8510 | |
Blesilda S So, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St, Suite 130, Jamestown, NY 14701 Phone: 716-483-3520 Fax: 716-483-3593 | |
Dr. Jin Soo Kim, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 320 Prather Avenue, Jamestown, NY 14701 Phone: 716-664-5712 Fax: 716-664-4111 | |
Collins O. Osula, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17 Sherman St, Jamestown, NY 14701 Phone: 716-393-0113 | |
Dr. Bhagwandas L Sutaria, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 320 Prather Avenue, Jamestown, NY 14701 Phone: 716-664-5712 Fax: 716-664-4111 |