| Teresa V Dombek-lang, MD | |
|
77 W. Barney St., Gouverneur, NY 13642 | |
| (315) 287-4440 | |
| (315) 287-1858 |
| Full Name | Teresa V Dombek-lang |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 77 W. Barney St., Gouverneur, 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 |
|---|---|---|---|
| 1699771295 | NPI | - | NPPES |
| 01995615 | Medicaid | NY | |
| 02392854 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | EL221009 (Maine) | Secondary |
| 207Q00000X | Family Medicine | MD25662 (Maine) | Secondary |
| 207Q00000X | Family Medicine | 243016 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Regional Hospital | Claremont, NH | Hospital |
| Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Regional Hospital Inc | 5799683280 | 28 |
| Entity Name | Valley Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366687683 PECOS PAC ID: 5799683280 Enrollment ID: O20031222000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa V Dombek-lang, MD 4 Commerce Ln, Canton, NY 13617-3739 Ph: (315) 386-8191 | Teresa V Dombek-lang, MD 77 W. Barney St., Gouverneur, NY 13642 Ph: (315) 287-4440 |
Dr. Timothy W Moon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 173 E Main St, Gouverneur, NY 13642 Phone: 315-287-3285 Fax: 315-287-3280 | |
Gerald L Calabrese, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-1000 | |
Nadhia Celestin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-4440 Fax: 315-287-1858 |