Thomas Black, MD | |
1001 Main St Fl 4, Buffalo, NY 14203-1009 | |
(716) 323-0034 | |
(716) 323-0292 |
Full Name | Thomas Black |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 23 Years |
Location | 1001 Main St Fl 4, Buffalo, 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 |
---|---|---|---|
1508838871 | NPI | - | NPPES |
1212594 | Other | IHA | |
000527733002 | Other | BC/BS | |
00026910202 | Other | UNIVERA | |
02577360 | Medicaid | NY | |
070804000017 | Other | FIDELIS | |
000527733001 | Other | NY | BLUE CROSS BLUE SHIELD |
00026910201 | Other | NY | UNIVERA HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 86636 (South Carolina) | Secondary |
208000000X | Pediatrics | 232292 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health Medical Group-midlands | 5991099707 | 865 |
Entity Name | Prisma Health Medical Group-midlands |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
---|---|
Thomas Black, MD 1001 Main St Fl 5, Buffalo, NY 14203-1009 Ph: (716) 323-0034 | Thomas Black, MD 1001 Main St Fl 4, Buffalo, NY 14203-1009 Ph: (716) 323-0034 |
Dr. Lauren Davidson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 219 Bryant St, Buffalo, NY 14222 Phone: 716-878-7355 | |
Jack Daniel Halligan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-0220 | |
Dr. Mary Ellen Emborsky, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Main St Fl 5, Buffalo, NY 14203 Phone: 716-323-0220 Fax: 716-323-0293 | |
Dr. Meghan E Jacobs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-2000 Fax: 716-323-0293 | |
Dr. Mona Bonanno, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Main St Fl 4, Buffalo, NY 14203 Phone: 716-323-0260 Fax: 716-323-0294 | |
Dr. Roger A Forden, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 341 Englewood Ave, Buffalo, NY 14223 Phone: 716-833-2333 Fax: 716-833-3972 | |
Dr. Jessica Aliotta Donhauser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-2000 Fax: 716-323-0599 |