| Brianna Baldwin, | |
|
5301 W Genesee St, Camillus, NY 13031-2238 | |
| (315) 253-2333 | |
| Not Available |
| Full Name | Brianna Baldwin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 5301 W Genesee St, Camillus, 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 |
|---|---|---|---|
| 1407436710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 027535-01 (New York) | Primary |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | Samaritan Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Baldwin, 301 Prospect Ave # Mso, Syracuse, NY 13203-1807 Ph: (315) 448-5111 | Brianna Baldwin, 5301 W Genesee St, Camillus, NY 13031-2238 Ph: (315) 253-2333 |
Lydia J Anders, R PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5700 W Genesee St, Suite 132, Camillus, NY 13031 Phone: 315-487-5858 Fax: 315-487-1950 |
Ashley Marie Maxam, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5417 W Genesee St Ste 3, Camillus, NY 13031 Phone: 315-470-7409 |
Rita E Macdonald, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5700 West Genesee St., Camillus, NY 13031 Phone: 315-488-1112 Fax: 315-488-6707 |
Ivan Y Olesh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3399 Warners Rd, Camillus, NY 13031 Phone: 315-460-5872 |
Mr. Ivan Ivanovich Drazek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 103 Viceroy Dr, Camillus, NY 13031 Phone: 315-882-4923 |
Mr. John Hyde Alden Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Robinhood Ln, Camillus, NY 13031 Phone: 315-387-5701 Fax: 315-435-5540 |
Amy Lynn Russell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5417 W Genesee St Ste 3, Camillus, NY 13031 Phone: 315-476-2323 |