| Marydonna Anderson, PA | |
|
2950 Elmwood Ave, Kenmore, NY 14217-1304 | |
| (716) 447-6202 | |
| (716) 447-6202 |
| Full Name | Marydonna Anderson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2950 Elmwood Ave, Kenmore, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518946789 | NPI | - | NPPES |
| 01929304 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 005907 (New York) | Primary |
| Entity Name | Sisters of Charity Hospital of Buffalo New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557 |
| Entity Name | Kenmore Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770598104 PECOS PAC ID: 7517870462 Enrollment ID: O20040319000138 |
| Entity Name | Mount St. Marys Hospital of Niagara Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043394745 PECOS PAC ID: 4082523790 Enrollment ID: O20040403000031 |
| Entity Name | Mercy Hospital of Buffalo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164464921 PECOS PAC ID: 8729991666 Enrollment ID: O20040702001253 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Marydonna Anderson, PA 2950 Elmwood Ave, Kenmore, NY 14217-1304 Ph: (716) 447-6202 | Marydonna Anderson, PA 2950 Elmwood Ave, Kenmore, NY 14217-1304 Ph: (716) 447-6202 |
Mrs. Breanne Finucane Jeffrey, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 Elmwood Ave, Kenmore, NY 14217 Phone: 716-262-4607 |
Robert E Baker Iii, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2950 Elmwood Ave, Kenmore, NY 14217 Phone: 716-447-6100 |
Baylin Tighe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2950 Elmwood Ave, Kenmore, NY 14217 Phone: 716-418-0106 |
Pauline Xu, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2495 Elmwood Ave, Kenmore, NY 14217 Phone: 716-882-2127 |
Kourtney Lenea Waggoner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 Elmwood Ave Ste A1, Kenmore, NY 14217 Phone: 716-529-3070 Fax: 716-529-3071 |
Kelly E Farrell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 Elmwood Ave # A1, Kenmore, NY 14217 Phone: 716-529-3070 |
Mr. Joseph R. Oddo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2949 Elmwood Ave, 203, Kenmore, NY 14217 Phone: 716-447-8868 |