| Mrs Kelly O'sullivan, PA-C | |
|
3 Silent Meadow Ln, Dept Of Medicine, Lancaster, NY 14086-3430 | |
| (716) 391-0937 | |
| Not Available |
| Full Name | Mrs Kelly O'sullivan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 3 Silent Meadow Ln, Lancaster, 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 |
|---|---|---|---|
| 1467488072 | NPI | - | NPPES |
| 02426548 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 007841 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaleida Health | Buffalo, NY | Hospital |
| Olean General Hospital | Olean, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| General Physician Pc | 9537213079 | 488 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | General Physician PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154 |
| 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 |
| Entity Name | Western New York Medical Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly O'sullivan, PA-C 4278 Coventry Green Cir, Dept Of Medicine, Williamsville, NY 14221-7237 Ph: (585) 802-1510 | Mrs Kelly O'sullivan, PA-C 3 Silent Meadow Ln, Dept Of Medicine, Lancaster, NY 14086-3430 Ph: (716) 391-0937 |
Gretchen Diane Murphy, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5949 Broadway St, Lancaster, NY 14086 Phone: 716-684-3000 Fax: 716-648-3380 |
Miss Hope Angelene Harrington, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9 Wildwood Dr, Lancaster, NY 14086 Phone: 716-260-7031 |