| Wyatt Clifton Deloney Snellgrove, DO | |
|
12 Pondview, Suite 101, Painted Post, NY 14870-9117 | |
| (251) 504-1218 | |
| Not Available |
| Full Name | Wyatt Clifton Deloney Snellgrove |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 12 Pondview, Painted Post, 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 |
|---|---|---|---|
| 1518312818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 298523 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home (corning) | Corning, NY | Home health agency |
| Arnot Ogden Medical Center | Elmira, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arnot Medical Services Pllc | 0840450748 | 104 |
| Arnot Ogden Medical Center | 5395798417 | 199 |
| Entity Name | Arnot Ogden Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083605661 PECOS PAC ID: 5395798417 Enrollment ID: O20061003000664 |
| Entity Name | Arnot Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427326768 PECOS PAC ID: 0840450748 Enrollment ID: O20120330000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt Clifton Deloney Snellgrove, DO 571 Saint Josephs Blvd, Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Wyatt Clifton Deloney Snellgrove, DO 12 Pondview, Suite 101, Painted Post, NY 14870-9117 Ph: (251) 504-1218 |
Dariusz Jarslaw Listopadzki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 418 S Hamilton St, Suite 109, Painted Post, NY 14870 Phone: 607-936-2089 Fax: 607-936-8176 | |
Dr. Robert Thomas Abderhalden, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3805 Meads Creek Rd, Painted Post, NY 14870 Phone: 607-962-3100 |