Stephen E Ettinghausen, MD | |
1415 Portland Ave, Suite 245, Rochester, NY 14621-3038 | |
(585) 922-4874 | |
Not Available |
Full Name | Stephen E Ettinghausen |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 46 Years |
Location | 1415 Portland Ave, Rochester, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225068638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 138462 (New York) | Secondary |
2086X0206X | Surgery - Surgical Oncology | 138462 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rochester General Hospital | 0244149474 | 891 |
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Mailing Address | Practice Location Address |
---|---|
Stephen E Ettinghausen, MD 1415 Portland Ave, Suite 245, Rochester, NY 14621-3038 Ph: (585) 922-4874 | Stephen E Ettinghausen, MD 1415 Portland Ave, Suite 245, Rochester, NY 14621-3038 Ph: (585) 922-4874 |
Meghan C Little, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr Ste 211, Rochester, NY 14623 Phone: 585-486-0600 | |
Irina Kanzafarova, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-273-1745 | |
Dr. Lael E Forbes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 South Ave, Rochester, NY 14620 Phone: 585-341-6543 Fax: 585-341-6544 | |
Dr. Yanjie Qi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box Surg, Rochester, NY 14642 Phone: 585-275-3022 Fax: 585-276-7851 | |
Jacob Moalem, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box Surg, Rochester, NY 14642 Phone: 585-275-1611 Fax: 585-273-1252 | |
Dustin John Fanciullo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1445 Portland Ave, Suite 108, Rochester, NY 14621 Phone: 585-922-5550 Fax: 585-922-0450 | |
Mary Lou O'neill-huber, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Erie Canal Dr, Suite B, Rochester, NY 14626 Phone: 585-225-5420 Fax: 585-225-5644 |