| Greenville Medical Associate, Pc | |
|
77 County Route 26a Greenville NY 12083-3921 | |
| (518) 966-4433 | |
| (518) 966-4728 |
| Full Name | Greenville Medical Associate, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 77 County Route 26a, Greenville, New York |
| Authorized Official Name and Position | Walter W. Hubicki (PRESIDENT) |
| Authorized Official Contact | 5189664433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Medical Associate, Pc Po Box 98 Greenville NY 12083-0098 Ph: (518) 966-4433 | Greenville Medical Associate, Pc 77 County Route 26a Greenville NY 12083-3921 Ph: (518) 966-4433 |
| NPI Number | 1033141932 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9032291109 |
|---|---|
| Medicare Enrollment ID | O20080128000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033141932 | NPI | - | NPPES |
| 2339383 | Other | NY | UNITEDHEALTHCARE |
| K262 | Other | NY | CDPHP GROUP # |
| 239713 | Other | NY | WELLCARE |
| 5996886 | Other | NY | GHI PPO |
| 711974 | Other | NY | MVP |
| 02506687 | Medicaid | NY | |
| 7828474 | Other | NY | AETNA |
| 000000077419 | Other | NY | GHI HMO |
| BSNENY | Other | NY | 000404955001 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 227740 (New York) | Primary |
| Provider Name | Walter Warren Hubicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396718383 PECOS PAC ID: 1951396597 Enrollment ID: I20040414001975 |
Greenville Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Bryant's Country Square, Greenville, NY 12083 Phone: 518-966-8786 Fax: 518-966-8787 |