| Evergreen Health Services | |
|
206 S Elmwood Ave Buffalo NY 14201-2398 | |
| (716) 847-0212 | |
| (716) 847-0418 |
| Full Name | Evergreen Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 S Elmwood Ave, Buffalo, New York |
| Authorized Official Name and Position | Jessica Anne Stack (AVP OF REVENUE CYCLE MGMT) |
| Authorized Official Contact | 7168807399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Health Services 206 S Elmwood Ave Buffalo NY 14201-2398 Ph: (716) 847-0212 | Evergreen Health Services 206 S Elmwood Ave Buffalo NY 14201-2398 Ph: (716) 847-0212 |
| NPI Number | 1356390918 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Medicare PECOS PAC ID | 7618946310 |
|---|---|
| Medicare Enrollment ID | O20040929000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356390918 | NPI | - | NPPES |
| 02995357 | Medicaid | NY | |
| 0F332484 | Medicaid | NY |
| Provider Name | Joseph M Genau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811917685 PECOS PAC ID: 7911898929 Enrollment ID: I20040322000088 |
| Provider Name | Mark R Zambron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669435103 PECOS PAC ID: 5092755579 Enrollment ID: I20050504000256 |
| Provider Name | Fatai a Gbadamosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386693190 PECOS PAC ID: 2769422062 Enrollment ID: I20050505000952 |
| Provider Name | Michael J Aronica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831158195 PECOS PAC ID: 6608970785 Enrollment ID: I20070329000265 |
| Provider Name | Rosalind N Sulaiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891954012 PECOS PAC ID: 9537223193 Enrollment ID: I20090126000489 |
| Provider Name | Laurie a White-abbatessa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134381437 PECOS PAC ID: 9638232150 Enrollment ID: I20090127000102 |
| Provider Name | William W Blymire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306095468 PECOS PAC ID: 9739371048 Enrollment ID: I20101005000839 |
| Provider Name | Christian B Dolensek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043454333 PECOS PAC ID: 1759568025 Enrollment ID: I20110614000512 |
| Provider Name | Sharon E Yager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659666998 PECOS PAC ID: 7416126735 Enrollment ID: I20110803000117 |
| Provider Name | Howard a Penn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366424848 PECOS PAC ID: 4981876976 Enrollment ID: I20111018000166 |
| Provider Name | Jessica C Ziemba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881883999 PECOS PAC ID: 9739342221 Enrollment ID: I20120521000181 |
| Provider Name | Michael E Godzala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215170030 PECOS PAC ID: 3072778612 Enrollment ID: I20120703000516 |
| Provider Name | Alyssa Shon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962609677 PECOS PAC ID: 9032365200 Enrollment ID: I20120804000036 |
| Provider Name | Kayleen M Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952782393 PECOS PAC ID: 5496060204 Enrollment ID: I20150821013951 |
| Provider Name | Kyle Switzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851731392 PECOS PAC ID: 1456669076 Enrollment ID: I20151001001217 |
| Provider Name | Josh M Matecki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063873339 PECOS PAC ID: 7911206404 Enrollment ID: I20160505000140 |
| Provider Name | Eliud K Kosgei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013362698 PECOS PAC ID: 4981992963 Enrollment ID: I20161006000707 |
| Provider Name | Elizabeth Gattman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831620152 PECOS PAC ID: 2163794009 Enrollment ID: I20170828001075 |
| Provider Name | Aye a Nwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588063010 PECOS PAC ID: 3577838507 Enrollment ID: I20171002001161 |
| Provider Name | Megan R Mogavero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831610807 PECOS PAC ID: 2769757624 Enrollment ID: I20171004000061 |
| Provider Name | Shyamal G Majithia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992115604 PECOS PAC ID: 0143596767 Enrollment ID: I20171026002740 |
| Provider Name | Corey Costa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891266102 PECOS PAC ID: 2264773159 Enrollment ID: I20190402001266 |
| Provider Name | Stewart Whitver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518448422 PECOS PAC ID: 9931447000 Enrollment ID: I20190425002200 |
| Provider Name | Seth Robert Glassman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386840361 PECOS PAC ID: 2163618968 Enrollment ID: I20190604003200 |
| Provider Name | Dennis Robert Kraft |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255495453 PECOS PAC ID: 8426484353 Enrollment ID: I20200212001119 |
| Provider Name | Linda Berkoh-asamoah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619592201 PECOS PAC ID: 2466869110 Enrollment ID: I20210325001957 |
| Provider Name | Amina Omer Shaibi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770175606 PECOS PAC ID: 6507273943 Enrollment ID: I20210331000400 |
| Provider Name | Eric M Moeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235723842 PECOS PAC ID: 3971907601 Enrollment ID: I20210803002075 |
| Provider Name | Melissa Kay Laux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568998672 PECOS PAC ID: 2860899887 Enrollment ID: I20210917001752 |
| Provider Name | Joanne S Keuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952971020 PECOS PAC ID: 1759779739 Enrollment ID: I20211025000689 |
| Provider Name | Amberlee Libertone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609535723 PECOS PAC ID: 9537550660 Enrollment ID: I20211229000751 |
| Provider Name | Emily Tyler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346779667 PECOS PAC ID: 8426439886 Enrollment ID: I20220715001184 |
| Provider Name | Sarah Margaret Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629850763 PECOS PAC ID: 0042660599 Enrollment ID: I20231222002821 |
| Provider Name | Sarah Lynn Stimpson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427502103 PECOS PAC ID: 5799136685 Enrollment ID: I20240104002444 |
| Provider Name | Samantha Marie Stroh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922658947 PECOS PAC ID: 6406208206 Enrollment ID: I20240117002813 |
| Provider Name | Amanda Marie Honan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902022478 PECOS PAC ID: 7810252046 Enrollment ID: I20240117004293 |
| Provider Name | Christian Parker Bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952062523 PECOS PAC ID: 9032561634 Enrollment ID: I20240119000197 |
| Provider Name | Tiffany Eva Bieber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972033322 PECOS PAC ID: 3476999046 Enrollment ID: I20240306002428 |
| Provider Name | Connor Shae Forest Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447015334 PECOS PAC ID: 9830537240 Enrollment ID: I20240404001610 |
| Provider Name | Sydney Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871352641 PECOS PAC ID: 7214375351 Enrollment ID: I20240409001073 |
| Provider Name | Kelsey Ann Scanlon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982085866 PECOS PAC ID: 2860935723 Enrollment ID: I20240619002287 |
| Provider Name | Andrew D Hurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942838172 PECOS PAC ID: 3476096967 Enrollment ID: I20240625003239 |
| Provider Name | Keaira Najae Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417648619 PECOS PAC ID: 9830635788 Enrollment ID: I20240726002680 |
| Provider Name | Kaylan Mayo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003653619 PECOS PAC ID: 1456899418 Enrollment ID: I20240821003121 |
| Provider Name | Allison Elizabeth Verstraete |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487215190 PECOS PAC ID: 3971044140 Enrollment ID: I20240916002904 |
| Provider Name | Meghan Elizabeth Kinnaird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578087425 PECOS PAC ID: 0143761114 Enrollment ID: I20240917004290 |
| Provider Name | Meghan Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578187241 PECOS PAC ID: 5799298469 Enrollment ID: I20250627000360 |
| Provider Name | Asha Akanke Mathis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477123941 PECOS PAC ID: 4486162542 Enrollment ID: I20250731004549 |
| Provider Name | Anna Elizabeth Hobler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740079276 PECOS PAC ID: 7810492550 Enrollment ID: I20250924003053 |
| Provider Name | Ryan William Bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679274161 PECOS PAC ID: 5698271732 Enrollment ID: I20250929002737 |
| Provider Name | Annalise Mary Spritzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699658591 PECOS PAC ID: 3678070356 Enrollment ID: I20251008002777 |
| Provider Name | Emily Lawrence Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235749565 PECOS PAC ID: 9830681873 Enrollment ID: I20251126000360 |
| Provider Name | Emily Anne Mogavero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902792021 PECOS PAC ID: 2062905623 Enrollment ID: I20251202002862 |
| Provider Name | Brittany V Camacho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073274205 PECOS PAC ID: 2264917178 Enrollment ID: I20260330000797 |
| Provider Name | Brandon Daniel Battaglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386597425 PECOS PAC ID: 0840766200 Enrollment ID: I20260414003051 |
Buffalo Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 S Park Ave Ste B, Buffalo, NY 14218 Phone: 716-348-9042 |
Buffalo Medical Care PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Genesee St, Buffalo, NY 14211 Phone: 716-895-2200 Fax: 716-895-3300 |
Jeremiah O Sullivan MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2218 Main St, Buffalo, NY 14214 Phone: 716-834-4141 Fax: 716-838-5840 |
Buffalo Psychiatric Center Act Team Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Building 51 A Area, Buffalo, NY 14213 Phone: 716-885-2261 |
Winston G Douglas MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Wehrle Dr, Buffalo, NY 14225 Phone: 716-884-8033 Fax: 716-342-2523 |
Carewell Medical PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-830-5453 Fax: 716-332-3525 |