| Xiaotong Zhang, | |
|
4676 Gooseneck Rd, Delevan, NY 14042-9454 | |
| (347) 876-1758 | |
| Not Available |
| Full Name | Xiaotong Zhang |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 4676 Gooseneck Rd, Delevan, 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 |
|---|---|---|---|
| 1578315230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F311764 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sisters Of Charity Hospital | Buffalo, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Mobile Medical Care Pc | 8426575325 | 97 |
| Mobile Physician Services Pllc | 8325360290 | 104 |
| 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 |
| Entity Name | Medical Director Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
| Entity Name | Physician Mobile Medical Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518765502 PECOS PAC ID: 8426575325 Enrollment ID: O20250505001772 |
| Entity Name | Jds Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174224653 PECOS PAC ID: 2062948748 Enrollment ID: O20260114002266 |
| Mailing Address | Practice Location Address |
|---|---|
| Xiaotong Zhang, 4676 Gooseneck Rd, Delevan, NY 14042-9454 Ph: (347) 876-1758 | Xiaotong Zhang, 4676 Gooseneck Rd, Delevan, NY 14042-9454 Ph: (347) 876-1758 |
Miss Theresa M Pequeen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38 N Main St, Delevan, NY 14042 Phone: 716-707-7040 |