| Colin Tedesco, PA | |
|
3900 N Buffalo St, Orchard Park, NY 14127-1842 | |
| (716) 630-1151 | |
| (716) 250-5997 |
| Full Name | Colin Tedesco |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 3900 N Buffalo St, Orchard Park, 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 |
|---|---|---|---|
| 1558722611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Entity Name | Sisters of Charity Hospital of Buffalo New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557 |
| Entity Name | Trinity Medical Wny PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295043149 PECOS PAC ID: 5193907517 Enrollment ID: O20110307000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Colin Tedesco, PA 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219 | Colin Tedesco, PA 3900 N Buffalo St, Orchard Park, NY 14127-1842 Ph: (716) 630-1151 |
Heather Marie Larson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 Sterling Dr Ste 105, Orchard Park, NY 14127 Phone: 716-677-9220 Fax: 716-677-9226 |
Austin Besch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-630-1000 |
Barbara Y Whiteside, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-630-1000 |
Daniel Victor Tomasulo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3075 Southwestern Blvd, Suite 102, Orchard Park, NY 14127 Phone: 716-675-0616 Fax: 716-675-7101 |
Mr. Michael James Fennell Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3055 Southwestern Blvd Ste 100, Orchard Park, NY 14127 Phone: 716-675-2500 |
Andrew Koroschetz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5959 Big Tree Rd Ste 102, Orchard Park, NY 14127 Phone: 716-422-5677 |
Mr. Paul Sandell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5800 Big Tree Rd, Orchard Park, NY 14127 Phone: 716-662-7337 |