| Tara L Gellasch, MD | |
|
1250 Driving Park Ave, Newark, NY 14513-1057 | |
| (315) 332-2427 | |
| (315) 332-2324 |
| Full Name | Tara L Gellasch |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 25 Years |
| Location | 1250 Driving Park Ave, Newark, 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 |
|---|---|---|---|
| 1780694489 | NPI | - | NPPES |
| 03105295 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0101237926 (Virginia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 253197 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Memorial Medical Center | 0547259376 | 211 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | United Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara L Gellasch, MD 1250 Driving Park Ave, Newark, NY 14513-1057 Ph: (315) 332-2427 | Tara L Gellasch, MD 1250 Driving Park Ave, Newark, NY 14513-1057 Ph: (315) 332-2427 |
Charles Lawrence Katz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1250 Driving Park Ave, Newark, NY 14513 Phone: 315-332-2427 Fax: 315-332-2324 | |
Alexandre Andreitchouk, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1250 Driving Park Ave, Newark, NY 14513 Phone: 315-332-2427 Fax: 315-332-2324 |