| Diane Vu, | |
|
3261 W State Rd, Saint Bonaventure, NY 14778-9800 | |
| (716) 375-2000 | |
| Not Available |
| Full Name | Diane Vu |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 3261 W State Rd, Saint Bonaventure, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215641402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110010204 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icahn School Of Medicine At Mount Sinai | 2264691070 | 2809 |
| Ramin Farboud Md Pc | 8123163532 | 2 |
| Entity Name | Icahn School of Medicine at Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750647152 PECOS PAC ID: 2264691070 Enrollment ID: O20130920000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Vu, 3261 W State Rd, Saint Bonaventure, NY 14778-9800 Ph: Not Available | Diane Vu, 3261 W State Rd, Saint Bonaventure, NY 14778-9800 Ph: (716) 375-2000 |
Carley Fern Stevenson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 248-535-7880 |
Nicole Elise Tschiderer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 716-375-2000 |
Gianna Marie Trillo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 716-375-2000 |
Jennifer Nguyen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 858-201-9313 |
Jesus R Perez Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 716-375-7890 |
Garret Anderson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 716-375-2000 |
Taylor Crimi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 716-375-2000 |