| Mr Jerold Allen Desimone I, PA | |
|
945 E Henrietta Rd, Rochester, NY 14623-1419 | |
| (585) 292-6440 | |
| (585) 292-6491 |
| Full Name | Mr Jerold Allen Desimone I |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 35 Years |
| Location | 945 E Henrietta Rd, Rochester, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568488633 | NPI | - | NPPES |
| PA0100 | Other | NY | PREFERRED CARE |
| P019004244 | Other | NY | EXCELLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 23-004244 (New York) | Primary |
| 363AM0700X | Physician Assistant - Medical | 4244 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Strong Memorial Hospital | Rochester, NY | Hospital |
| Highland Hospital | Rochester, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Rochester | 5799699088 | 960 |
| Cornerstone Urgent Care Center Llc | 9739456229 | 5 |
| Entity Name | Strong Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184664948 PECOS PAC ID: 6608850987 Enrollment ID: O20040615000722 |
| Entity Name | University of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20130619000286 |
| Entity Name | Cornerstone Urgent Care Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932647955 PECOS PAC ID: 9739456229 Enrollment ID: O20180716000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerold Allen Desimone I, PA 945 E Henrietta Rd, Rochester, NY 14623-1419 Ph: (585) 292-6440 | Mr Jerold Allen Desimone I, PA 945 E Henrietta Rd, Rochester, NY 14623-1419 Ph: (585) 292-6440 |
Carie E Bradt, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-6070 Fax: 585-756-4727 |
Mrs. Sara Nichole Brandel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Red Creek Dr Ste 120, Rochester, NY 14623 Phone: 585-334-5560 Fax: 585-730-7500 |
Lisa Nicole Fronczak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1425 Portland Ave, Box 362, Rochester, NY 14621 Phone: 585-922-4000 |
Nicole Brescia, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Carter St, Rochester, NY 14621 Phone: 585-338-1200 Fax: 585-544-1359 |
Mackenzie R. Pettinella, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1555 Long Pond Rd, Dept. Of Medicine, Rochester, NY 14626 Phone: 585-723-7870 Fax: 585-723-7871 |
Meghan C Little, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr Ste 211, Rochester, NY 14623 Phone: 585-486-0600 |
Mrs. Kristin A Knapp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-5830 |