| Michael D Lacivita, DPM | |
|
6325 Main St, Suite 200, Williamsville, NY 14221-5822 | |
| (716) 630-1295 | |
| (716) 250-5999 |
| Full Name | Michael D Lacivita |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 24 Years |
| Location | 6325 Main St, Williamsville, 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 |
|---|---|---|---|
| 1285651018 | NPI | - | NPPES |
| 02676171 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | N0060261 (New York) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | 002240 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaleida Health | Buffalo, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Buffalo Medical Group, P.c. | 7012820301 | 235 |
| Provider Name | Kaleida Health |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639209596 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 |
| Provider Name | Buffalo Medical Group, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213 |
| Provider Name | Southtowns Surgery Center Llc |
|---|---|
| Provider Type | Part B Supplier - Ambulatory Surgical Center |
| Provider Identifiers | NPI Number: 1518323435 PECOS PAC ID: 4789983479 Enrollment ID: O20160502001374 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Lacivita, DPM 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219 | Michael D Lacivita, DPM 6325 Main St, Suite 200, Williamsville, NY 14221-5822 Ph: (716) 630-1295 |
Kenneth Todd Goldstein, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 6325 Main St, Suite 200, Williamsville, NY 14221 Phone: 716-630-1295 Fax: 716-250-5999 | |
Dr. Robert Stuart Bronstein, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 25 Segsbury Rd, Williamsville, NY 14221 Phone: 716-631-5217 | |
Dr. Stephen C Smith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 330 Harris Hill Rd Ste B, Williamsville, NY 14221 Phone: 716-833-8094 Fax: 716-833-4984 | |
Jason T White, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15 S Forest Rd, Williamsville, NY 14221 Phone: 716-634-5993 Fax: 716-478-0946 | |
Dr. David Michael Perelstein, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6325 Main St, Suite 200, Williamsville, NY 14221 Phone: 716-630-1295 Fax: 716-250-5999 | |
Dr. Gerard Anthony Makin, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 81 N Long St, Williamsville, NY 14221 Phone: 716-626-0595 |