| Wyoming County | |
|
400 N Main St Warsaw NY 14569-1025 | |
| (585) 786-8940 | |
| (585) 786-1222 |
| Full Name | Wyoming County |
|---|---|
| Speciality | Emergency Medicine |
| Location | 400 N Main St, Warsaw, New York |
| Authorized Official Name and Position | Michael A. Corcimiglia (COO) |
| Authorized Official Contact | 5857868940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming County 143 N Main St Warsaw NY 14569-1100 Ph: (585) 786-8940 | Wyoming County 400 N Main St Warsaw NY 14569-1025 Ph: (585) 786-8940 |
| NPI Number | 1407060759 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 05/05/2015 |
| Medicare PECOS PAC ID | 9335118967 |
|---|---|
| Medicare Enrollment ID | O20040929001076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407060759 | NPI | - | NPPES |
| 03372245 | Medicaid | NY | |
| FA0944 | Other | NY | PREFERRED CARE |
| 70102A | Medicaid | NY | |
| 00040514704 | Other | NY | UNIVERA |
| 000525907002 | Other | NY | BLUE CROSS |
| Provider Name | Salman N Abbasey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053419028 PECOS PAC ID: 0143282152 Enrollment ID: I20041102000456 |
| Provider Name | Dale L Deahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871573378 PECOS PAC ID: 0648203620 Enrollment ID: I20050912000833 |
| Provider Name | Joseph Gomez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750304036 PECOS PAC ID: 1850312760 Enrollment ID: I20051207000603 |
| Provider Name | Robert Capecci |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336257047 PECOS PAC ID: 3173563475 Enrollment ID: I20070102000303 |
| Provider Name | Ahmed G M Bayoumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750389797 PECOS PAC ID: 4082615588 Enrollment ID: I20070126000077 |
| Provider Name | Debra Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932107885 PECOS PAC ID: 5799786299 Enrollment ID: I20070126000098 |
| Provider Name | Anthony T Dibenedetto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477505964 PECOS PAC ID: 8921030081 Enrollment ID: I20080619000347 |
| Provider Name | Edwin Anand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316117617 PECOS PAC ID: 6002988045 Enrollment ID: I20080708000255 |
| Provider Name | Jeffrey L Teibel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356398226 PECOS PAC ID: 5890833511 Enrollment ID: I20091117000260 |
| Provider Name | Jeffrey J Brewer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508930363 PECOS PAC ID: 7810092137 Enrollment ID: I20100707000336 |
| Provider Name | Andrew C Hilburger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649230517 PECOS PAC ID: 2961527882 Enrollment ID: I20100916000049 |
| Provider Name | Gregory J Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740244672 PECOS PAC ID: 0345345922 Enrollment ID: I20110303000783 |
| Provider Name | John R Valvo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043235138 PECOS PAC ID: 3678547940 Enrollment ID: I20111013000002 |
| Provider Name | Zerah Z Ali |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548498413 PECOS PAC ID: 9234394958 Enrollment ID: I20120703000193 |
| Provider Name | John Christopher Karpie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972705408 PECOS PAC ID: 2264563865 Enrollment ID: I20120723000653 |
| Provider Name | Andrea Zucchiatti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215056700 PECOS PAC ID: 8325290380 Enrollment ID: I20121221000000 |
| Provider Name | Christina Ann Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811250483 PECOS PAC ID: 8921245259 Enrollment ID: I20130506000206 |
| Provider Name | Sendhan A Rajamanickam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508108192 PECOS PAC ID: 4981846268 Enrollment ID: I20130815000905 |
| Provider Name | David Michael Privitera |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487809919 PECOS PAC ID: 4385893239 Enrollment ID: I20131205001162 |
| Provider Name | Kevin Anthony Oconnell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720262686 PECOS PAC ID: 9537245477 Enrollment ID: I20131209000755 |
| Provider Name | Chibuikem Philip Akamnonu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215185442 PECOS PAC ID: 6709000656 Enrollment ID: I20140616000218 |
| Provider Name | Renee S Groh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023416740 PECOS PAC ID: 7315263431 Enrollment ID: I20150309002198 |
| Provider Name | Rabea Khedimi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891043519 PECOS PAC ID: 4880900778 Enrollment ID: I20150909001136 |
| Provider Name | Ronald D Weissenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336249911 PECOS PAC ID: 3870697188 Enrollment ID: I20151117002486 |
| Provider Name | Alex Marshal Trzebucki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114269594 PECOS PAC ID: 9739471533 Enrollment ID: I20160715000446 |
| Provider Name | Lisa Marie Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659880102 PECOS PAC ID: 0345595062 Enrollment ID: I20180621001045 |
| Provider Name | Honeylee Agustin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285918482 PECOS PAC ID: 1658622840 Enrollment ID: I20180927001566 |
| Provider Name | Amy J Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407321953 PECOS PAC ID: 3870838295 Enrollment ID: I20181212003699 |
| Provider Name | Megan K Mase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275097578 PECOS PAC ID: 1355680794 Enrollment ID: I20190304000644 |
| Provider Name | Sydney Domanowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093194631 PECOS PAC ID: 7911243092 Enrollment ID: I20200103000264 |
| Provider Name | Dean M Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821253857 PECOS PAC ID: 4284821083 Enrollment ID: I20200608002706 |
| Provider Name | Susan Schell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417580341 PECOS PAC ID: 0446673941 Enrollment ID: I20200630002370 |
| Provider Name | Jacquelyn Janes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346878295 PECOS PAC ID: 2961826052 Enrollment ID: I20200722001942 |
| Provider Name | Amrutha Idupuganti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497142665 PECOS PAC ID: 8022355486 Enrollment ID: I20210727001584 |
| Provider Name | Joseph Yeo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881218055 PECOS PAC ID: 1658793385 Enrollment ID: I20230824001890 |
| Provider Name | Jascha Oscar Teibel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477173524 PECOS PAC ID: 5597177238 Enrollment ID: I20230828000572 |
| Provider Name | Jessica Lynn Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831808807 PECOS PAC ID: 8729442926 Enrollment ID: I20230906002465 |
| Provider Name | Hemant Kalia |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1689879959 PECOS PAC ID: 1355574708 Enrollment ID: I20240106000384 |
| Provider Name | Booth Wainscoat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699707141 PECOS PAC ID: 7012912165 Enrollment ID: I20240312002038 |
| Provider Name | Margaret Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205068970 PECOS PAC ID: 5496192841 Enrollment ID: I20240321002129 |
| Provider Name | Charlene Welsted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922860915 PECOS PAC ID: 3375981293 Enrollment ID: I20240410002537 |
| Provider Name | Tiffany Yuh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790147072 PECOS PAC ID: 1456643766 Enrollment ID: I20240411003697 |
| Provider Name | Sarah Welsh Burgdorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801213780 PECOS PAC ID: 5193053346 Enrollment ID: I20240412000546 |
| Provider Name | Julia Cornett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679884738 PECOS PAC ID: 3779779251 Enrollment ID: I20240509003684 |
| Provider Name | Anna Nanigian Witt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770015042 PECOS PAC ID: 0042581092 Enrollment ID: I20240610000492 |
| Provider Name | Diana Zhong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376924365 PECOS PAC ID: 2163721861 Enrollment ID: I20240624000966 |
| Provider Name | Ethan K Craig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114414513 PECOS PAC ID: 6204173370 Enrollment ID: I20240727000164 |
| Provider Name | Bethany Deborah Harvey |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1386176709 PECOS PAC ID: 7012254097 Enrollment ID: I20240920001182 |
| Provider Name | Stuti Tambar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265756753 PECOS PAC ID: 7719245687 Enrollment ID: I20241009004294 |
Allegany Rehabilitation Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 N Main St, Warsaw, NY 14569 Phone: 585-786-8133 Fax: 585-786-9928 | |
Mashell A. Schell, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 N Main St, Warsaw, NY 14569 Phone: 585-616-3366 Fax: 585-757-2463 | |
Allegany Rehabilitation Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Duncan St, Warsaw, NY 14569 Phone: 585-786-0190 Fax: 585-786-0196 | |
Erie County South East Corp V Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 W Buffalo, Warsaw, NY 14569 Phone: 585-786-5551 Fax: 585-786-5561 | |
Erie County South East Corp V Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 N Main St, Warsaw, NY 14569 Phone: 585-786-0220 Fax: 585-786-3631 | |
Mark Varallo Md Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-2233 Fax: 585-786-1203 |