| Timothy A Mathis, MD | |
|
1656 Champlin Ave, New Hartford, NY 13413-1068 | |
| (315) 624-6068 | |
| (315) 624-6308 |
| Full Name | Timothy A Mathis |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1656 Champlin Ave, New Hartford, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790788867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 173917 (New York) | Primary |
| 207Q00000X | Family Medicine | 173917 (New York) | Secondary |
| Entity Name | Emergency Physician Services Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
| Entity Name | Delphi Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003075029 PECOS PAC ID: 9537229661 Enrollment ID: O20081119000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy A Mathis, MD 8636 Standish Rd, Rome, NY 13440-1441 Ph: (315) 339-3302 | Timothy A Mathis, MD 1656 Champlin Ave, New Hartford, NY 13413-1068 Ph: (315) 624-6068 |
Victor R Osinaga, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, New Hartford, NY 13413 Phone: 315-624-6222 Fax: 315-624-6308 | |
Laurence Maynard, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, New Hartford, NY 13413 Phone: 315-624-6222 Fax: 315-624-6308 | |
Richard Chmielewski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Oxford Xing Ste 1, New Hartford, NY 13413 Phone: 315-507-4751 Fax: 315-765-6056 | |
Michael G Kowalski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, New Hartford, NY 13413 Phone: 315-624-6222 Fax: 315-624-6308 | |
Lingappa Amernath, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, New Hartford, NY 13413 Phone: 315-624-6222 Fax: 315-624-6308 |