| Lydia J Anders, R PAC | |
|
5700 W Genesee St, Suite 132, Camillus, NY 13031-3200 | |
| (315) 487-5858 | |
| (315) 487-1950 |
| Full Name | Lydia J Anders |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 5700 W Genesee St, Camillus, 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 |
|---|---|---|---|
| 1093782542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 010011 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aesthetic Plastic Surgery Of Syracuse Pllc | 7810947413 | 4 |
| Entity Name | Aesthetic Plastic Surgery of Syracuse PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609865054 PECOS PAC ID: 7810947413 Enrollment ID: O20050131000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia J Anders, R PAC Po Box 2003, East Syracuse, NY 13057-4503 Ph: (315) 446-3904 | Lydia J Anders, R PAC 5700 W Genesee St, Suite 132, Camillus, NY 13031-3200 Ph: (315) 487-5858 |
Ashley Marie Maxam, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5417 W Genesee St Ste 3, Camillus, NY 13031 Phone: 315-470-7409 |
Rita E Macdonald, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5700 West Genesee St., Camillus, NY 13031 Phone: 315-488-1112 Fax: 315-488-6707 |
Ivan Y Olesh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3399 Warners Rd, Camillus, NY 13031 Phone: 315-460-5872 |
Mr. Ivan Ivanovich Drazek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 103 Viceroy Dr, Camillus, NY 13031 Phone: 315-882-4923 |
Mr. John Hyde Alden Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Robinhood Ln, Camillus, NY 13031 Phone: 315-387-5701 Fax: 315-435-5540 |
Amy Lynn Russell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5417 W Genesee St Ste 3, Camillus, NY 13031 Phone: 315-476-2323 |
Brianna Baldwin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5301 W Genesee St, Camillus, NY 13031 Phone: 315-253-2333 |