| Robert Reynolds, PA | |
|
1 Titus Pl, Walton, NY 13856-1457 | |
| (607) 865-2100 | |
| (607) 785-2584 |
| Full Name | Robert Reynolds |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1 Titus Pl, Walton, 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 |
|---|---|---|---|
| 1760463483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 008363 (New York) | Primary |
| 207P00000X | Emergency Medicine | 008363 (New York) | Secondary |
| Entity Name | Delaware Valley Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144312646 PECOS PAC ID: 2860388337 Enrollment ID: O20040223001307 |
| Entity Name | Delaware Valley Hospital Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417940719 PECOS PAC ID: 2860388337 Enrollment ID: O20210611000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Reynolds, PA 1 Titus Pl, Walton, NY 13856-1457 Ph: (607) 865-2100 | Robert Reynolds, PA 1 Titus Pl, Walton, NY 13856-1457 Ph: (607) 865-2100 |
Cooper James Hall, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Titus Pl, Walton, NY 13856 Phone: 607-865-2100 |
Michael C Free, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Titus Place, Walton, NY 13856 Phone: 607-865-2189 Fax: 845-565-3395 |
Michaela Kammerman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 Titus Place, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305 |
Graciela West, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Titus Place, Walton, NY 13856 Phone: 607-865-2100 Fax: 607-865-7305 |
Chelsea Doig, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 Titus Place, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305 |