| Todd M Podkowka, DO | |
|
6483 Cone Rd, Boonville, NY 13309-3311 | |
| (315) 339-6536 | |
| (315) 339-8089 |
| Full Name | Todd M Podkowka |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 6483 Cone Rd, Boonville, 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 |
|---|---|---|---|
| 1174633622 | NPI | - | NPPES |
| 06000216019 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 216019 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Memorial Hospital, Inc | Hamilton, NY | Hospital |
| Rome Memorial Hospital, Inc | Rome, NY | Hospital |
| Oneida Healthcare Center | Oneida, NY | Hospital |
| Crouse Community Center Inc | Morrisville, NY | Nursing home |
| Rome Memorial Hospital, Inc - R H C F | Rome, NY | Nursing home |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Entity Name | Crouse-community Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376525378 PECOS PAC ID: 5698750677 Enrollment ID: O20040623000509 |
| Entity Name | Todd M Podkowka Do Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518210608 PECOS PAC ID: 9638324650 Enrollment ID: O20130223000125 |
| Entity Name | State Of New York Comptrollers Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd M Podkowka, DO 6483 Cone Rd, Boonville, NY 13309-3311 Ph: (315) 339-6536 | Todd M Podkowka, DO 6483 Cone Rd, Boonville, NY 13309-3311 Ph: (315) 339-6536 |