| Lillian M Bascom, PA-C | |
|
3261 W State Rd, Saint Bonaventure, NY 14778-9800 | |
| (503) 884-8139 | |
| Not Available |
| Full Name | Lillian M Bascom |
|---|---|
| Gender | |
| Speciality | Physician Assistant |
| Location | 3261 W State Rd, Saint Bonaventure, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013806272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lillian M Bascom, PA-C 3040 17th Ave W Apt 433, Seattle, WA 98119-2277 Ph: () - | Lillian M Bascom, PA-C 3261 W State Rd, Saint Bonaventure, NY 14778-9800 Ph: (503) 884-8139 |
Ashley Madura, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 716-375-2000 | |
Carley Fern Stevenson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 248-535-7880 | |
Nicole Elise Tschiderer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 716-375-2000 | |
Gianna Marie Trillo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3261 W State Rd, Saint Bonaventure, NY 14778 Phone: 716-375-2000 | |
Garret Anderson, Physician Assistant Medicare: Medicare Enrolled 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 |