Mobile Physician Services Pllc - Medicare Primary Care in Buffalo, NY

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Mobile Physician Services Pllc is a medicare enrolled primary clinic (Family Medicine) in Buffalo, New York. The current practice location for Mobile Physician Services Pllc is 40 La Riviere Dr Ste 201, Buffalo, New York. For appointments, you can reach them via phone at (337) 991-9276. The mailing address for Mobile Physician Services Pllc is 5750 Johnston St Ste 205, Lafayette, Louisiana and phone number is (337) 991-9276.

Mobile Physician Services Pllc is licensed to practice in New York (license number 134888). The clinic also participates in the medicare program and its NPI number is 1194132415. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 991-9276.

Contact Information

Mobile Physician Services Pllc
40 La Riviere Dr Ste 201
Buffalo
NY 14202-4036
(337) 991-9276
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMobile Physician Services Pllc
SpecialityFamily Medicine
Location40 La Riviere Dr Ste 201, Buffalo, New York
Authorized Official Name and PositionNicole Howard (SVP OF ADMIN SERVICES)
Authorized Official Contact3374080797
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mobile Physician Services Pllc
5750 Johnston St Ste 205
Lafayette
LA 70503-5345

Ph: (337) 991-9276		Mobile Physician Services Pllc
40 La Riviere Dr Ste 201
Buffalo
NY 14202-4036

Ph: (337) 991-9276

NPI Details:

NPI Number1194132415
Provider Enumeration Date07/18/2014
Last Update Date02/12/2026

Medicare PECOS Information:

Medicare PECOS PAC ID8325360290
Medicare Enrollment IDO20141203001681

Medical Identifiers

Medical identifiers for Mobile Physician Services Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194132415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 134888 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mobile Physician Services Pllc acts as a billing entity for following providers:
Provider NameCory J Egan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578526240
PECOS PAC ID: 8820984123
Enrollment ID: I20040224000879
Provider NameMary Christine Uebbing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730136805
PECOS PAC ID: 0941197099
Enrollment ID: I20040303000053
Provider NameJuliet M Marczak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710960836
PECOS PAC ID: 6103800784
Enrollment ID: I20040614000758
Provider NameDaniel L Woolston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982719985
PECOS PAC ID: 3577532589
Enrollment ID: I20040927001039
Provider NameJames S Collins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104819200
PECOS PAC ID: 0446141394
Enrollment ID: I20050629000196
Provider NameBarbara L Jeffers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770584138
PECOS PAC ID: 4981626371
Enrollment ID: I20051229000128
Provider NameCarolyn A Montgomery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720053416
PECOS PAC ID: 0749296358
Enrollment ID: I20060306000396
Provider NameEdward J Metzger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649245812
PECOS PAC ID: 4082622428
Enrollment ID: I20060403000028
Provider NameMichelle Brenner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316987316
PECOS PAC ID: 7911903190
Enrollment ID: I20061011000285
Provider NameSam Thompson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821172362
PECOS PAC ID: 1759426992
Enrollment ID: I20100301000747
Provider NameAnthony J Billittier
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1770553638
PECOS PAC ID: 6002824752
Enrollment ID: I20100415000848
Provider NameRozy Nelofar Wani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245295492
PECOS PAC ID: 7113092339
Enrollment ID: I20100503000026
Provider NameSalvatore M Calandra
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1659307528
PECOS PAC ID: 5193614352
Enrollment ID: I20100608000874
Provider NameStephanie Ann Wodowski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083877930
PECOS PAC ID: 3375676307
Enrollment ID: I20100814000040
Provider NameMaurice J Vansice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467496059
PECOS PAC ID: 7214121862
Enrollment ID: I20101028000197
Provider NameWendy L Pettit
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205871589
PECOS PAC ID: 4284822255
Enrollment ID: I20101217000820
Provider NameJialin S Nah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336334457
PECOS PAC ID: 8921283672
Enrollment ID: I20110425000304
Provider NameVirginia Clive
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801083043
PECOS PAC ID: 3779768247
Enrollment ID: I20110427000117
Provider NameMary A Rykert Wolf
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023012853
PECOS PAC ID: 1153509153
Enrollment ID: I20110622000116
Provider NameDawn K Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417254848
PECOS PAC ID: 4880872449
Enrollment ID: I20110629000760
Provider NameJennifer Marie Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861623092
PECOS PAC ID: 6204008618
Enrollment ID: I20111007000030
Provider NameCarolyn Doyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598720815
PECOS PAC ID: 6002095593
Enrollment ID: I20111214001018
Provider NameIduvina D Earner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295966422
PECOS PAC ID: 2466686613
Enrollment ID: I20131002000172
Provider NameLaura Spyche
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760511034
PECOS PAC ID: 6800028622
Enrollment ID: I20140410000226
Provider NameDawn M Sacks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427493741
PECOS PAC ID: 9032334594
Enrollment ID: I20140626000275
Provider NameMisty Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437499290
PECOS PAC ID: 9537485396
Enrollment ID: I20150313001424
Provider NameBrandi Burke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083007579
PECOS PAC ID: 6002137247
Enrollment ID: I20150601000310
Provider NameHollie Bojarski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467850735
PECOS PAC ID: 1951615517
Enrollment ID: I20150728003283
Provider NameXika Zhao
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740542299
PECOS PAC ID: 3072828284
Enrollment ID: I20150818004008
Provider NameTheresa L Arida
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649622093
PECOS PAC ID: 5193001899
Enrollment ID: I20170412001060
Provider NameJean Hayward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578012571
PECOS PAC ID: 2769759539
Enrollment ID: I20170526000579
Provider NameEnaame L Farrell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649539594
PECOS PAC ID: 8921375205
Enrollment ID: I20170918000113
Provider NameAimee D Dipasqua
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265687651
PECOS PAC ID: 0840556932
Enrollment ID: I20171106001820
Provider NameTania Lawniczak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952588873
PECOS PAC ID: 6002190238
Enrollment ID: I20171221001636
Provider NameOnalee Hendrickson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548771108
PECOS PAC ID: 9335408491
Enrollment ID: I20180117002013
Provider NameKim M Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083147946
PECOS PAC ID: 3870853203
Enrollment ID: I20180410000037
Provider NameMuriel S Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003113630
PECOS PAC ID: 9234374927
Enrollment ID: I20190524000067
Provider NameRachel Pughsley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1841602919
PECOS PAC ID: 5092930339
Enrollment ID: I20190607001942
Provider NameNicole Gannon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689947426
PECOS PAC ID: 2769762673
Enrollment ID: I20190821001761
Provider NameMichael H Kueker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013414986
PECOS PAC ID: 2860739257
Enrollment ID: I20200228000863
Provider NameJeanne M Bushnell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558306597
PECOS PAC ID: 1951331594
Enrollment ID: I20200831002162
Provider NameAnn E Grimaldi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104409788
PECOS PAC ID: 4082013735
Enrollment ID: I20210528001311
Provider NameDana L Jeffrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427625573
PECOS PAC ID: 4284037748
Enrollment ID: I20210722000435
Provider NameGlenn H Fredenburg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679152664
PECOS PAC ID: 2668876871
Enrollment ID: I20210810004077
Provider NameLena R Baxter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407439649
PECOS PAC ID: 6204232390
Enrollment ID: I20210915002723
Provider NameThu Minh Diane Pham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578096491
PECOS PAC ID: 1759628050
Enrollment ID: I20211021001472
Provider NameCatherine Colson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316532609
PECOS PAC ID: 0143601898
Enrollment ID: I20220713001328
Provider NameNina Mohsini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114563228
PECOS PAC ID: 4981062072
Enrollment ID: I20230622000309
Provider NameStanley B Clifton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811341878
PECOS PAC ID: 4082900659
Enrollment ID: I20230808000581
Provider NameJoelle M Kozierowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316722770
PECOS PAC ID: 4688022494
Enrollment ID: I20231204002515
Provider NameAlina Davidson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851164461
PECOS PAC ID: 2961851332
Enrollment ID: I20231211001283
Provider NameMegan R Gerwitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609632926
PECOS PAC ID: 6002257722
Enrollment ID: I20240513002764
Provider NameJohnny Mei
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790808095
PECOS PAC ID: 3870682958
Enrollment ID: I20240716001831

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.