| Shirley Tuttle-malone, DO | |
|
9559 Main Street, Beaver Falls, NY 13305 | |
| (315) 346-6824 | |
| (315) 346-6868 |
| Full Name | Shirley Tuttle-malone |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 9559 Main Street, Beaver Falls, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457441834 | NPI | - | NPPES |
| 01559411 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 194581 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewis County General Hospital Hospice | Lowville, NY | Hospice |
| Lewis County General Hospital | Lowville, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis County General Hospital | 2668463779 | 34 |
| Entity Name | Lewis County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790857308 PECOS PAC ID: 2668463779 Enrollment ID: O20040901000113 |
| Entity Name | Lewis County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568534303 PECOS PAC ID: 2668463779 Enrollment ID: O20040901000160 |
| Entity Name | Lewis County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659433217 PECOS PAC ID: 2668463779 Enrollment ID: O20041006001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley Tuttle-malone, DO Po Box 180, Beaver Falls, NY 13305-0180 Ph: (315) 346-6824 | Shirley Tuttle-malone, DO 9559 Main Street, Beaver Falls, NY 13305 Ph: (315) 346-6824 |
Thomas Peter Birk, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9559 Main Street, Beaver Falls, NY 13305 Phone: 315-346-6824 Fax: 315-346-6868 | |
Dr. Roger Brian Shambo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9559 Main Street, Beaver Falls, NY 13305 Phone: 315-346-6824 Fax: 315-346-6868 |