| Denardin Family Practice Pllc | |
|
4949 Harlem Rd Amherst NY 14226-2500 | |
| (716) 839-1690 | |
| (716) 839-6743 |
| Full Name | Denardin Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4949 Harlem Rd, Amherst, New York |
| Authorized Official Name and Position | Margaret Law (BILLING MANAGER) |
| Authorized Official Contact | 7166560078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denardin Family Practice Pllc 4949 Harlem Rd Amherst NY 14226-2500 Ph: (716) 839-1690 | Denardin Family Practice Pllc 4949 Harlem Rd Amherst NY 14226-2500 Ph: (716) 839-1690 |
| NPI Number | 1003002577 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 12/09/2013 |
| Medicare PECOS PAC ID | 1456324599 |
|---|---|
| Medicare Enrollment ID | O20040817000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003002577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 219474 (New York) | Primary |
| Provider Name | Ann M Denardin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982660205 PECOS PAC ID: 8527031673 Enrollment ID: I20040819000020 |
| Provider Name | Jesse Bernard Denardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114653250 PECOS PAC ID: 3072858265 Enrollment ID: I20221130000320 |
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