| David A Kibby, PA | |
|
5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | |
| (315) 251-3100 | |
| (315) 449-9923 |
| Full Name | David A Kibby |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 5719 Widewaters Pkwy, Syracuse, 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 |
|---|---|---|---|
| 1649481409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 011985 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Syracuse Orthopedic Specialists, Pllc | 6406760073 | 115 |
| Upstate Community Medical, Pc | 0143238782 | 153 |
| Entity Name | Syracuse Orthopedic Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669410379 PECOS PAC ID: 6406760073 Enrollment ID: O20031118000264 |
| Entity Name | Upstate Community Medical, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689620163 PECOS PAC ID: 0143238782 Enrollment ID: O20060323000644 |
| Entity Name | Emergency Care Services of New York PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639236656 PECOS PAC ID: 3678678646 Enrollment ID: O20070419000474 |
| Entity Name | St Josephs Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
| Mailing Address | Practice Location Address |
|---|---|
| David A Kibby, PA 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 Ph: (315) 251-3100 | David A Kibby, PA 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 Ph: (315) 251-3100 |
Greta Jasinski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, Syracuse, NY 13202 Phone: 315-464-4470 |
Ruth Louise Van Der Heide, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 739 Irving Ave Ste 600, Syracuse, NY 13210 Phone: 315-701-2550 Fax: 315-701-2551 |
Sarah Bowler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams Street, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 |
Grace Warrington, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5540 |
Alex Crysler, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Genesee St Ste 500, Syracuse, NY 13210 Phone: 315-471-8388 |
Matthew D Hood, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 |
Jonathan Conlon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Irving Ave Ste 314, Syracuse, NY 13210 Phone: 315-464-9360 |