| Michael Fraser, | |
|
4535 Southwestern Boulevard Suite 801, Hamburg, NY 14075-3647 | |
| (716) 646-6075 | |
| Not Available |
| Full Name | Michael Fraser |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4535 Southwestern Boulevard Suite 801, Hamburg, 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 |
|---|---|---|---|
| 1205220985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 018488 (New York) | Primary |
| Entity Name | Spine Surgery of Buffalo Niagara LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538199864 PECOS PAC ID: 4082629068 Enrollment ID: O20060213000285 |
| Entity Name | Mobile Physician Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194132415 PECOS PAC ID: 8325360290 Enrollment ID: O20141203001681 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Fraser, 40 La Riviere Dr Ste 201, Buffalo, NY 14202-4344 Ph: (716) 893-1010 | Michael Fraser, 4535 Southwestern Boulevard Suite 801, Hamburg, NY 14075-3647 Ph: (716) 646-6075 |
Mrs. Erin E Amborski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4855 Camp Rd, Ste 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 |
Madison E Freund, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3040 Amsdell Rd, Hamburg, NY 14075 Phone: 716-646-6700 Fax: 716-646-8515 |
Gabrielle Grimaldi, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3040 Amsdell Rd, Hamburg, NY 14075 Phone: 716-646-6700 Fax: 716-646-8515 |
Ms. Melissa J Juliano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4855 Camp Rd Ste 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 |
Rikki L Korkowicz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4535 Southwestern Blvd Ste 202, Hamburg, NY 14075 Phone: 212-283-3000 |
Mrs. Kathleen E Schiele, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4855 Camp Rd, Suite 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 |
Mrs. Sara A. Nash, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3040 Amsdell Rd, Hamburg, NY 14075 Phone: 716-646-6700 Fax: 716-646-8515 |