| Physician Mobile Medical Care Pc | |
|
40 La Riviere Dr Ste 500 Buffalo NY 14202-4344 | |
| (716) 893-1010 | |
| (716) 893-1002 |
| Full Name | Physician Mobile Medical Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 La Riviere Dr Ste 500, Buffalo, New York |
| Authorized Official Name and Position | Brian Egan (CEO) |
| Authorized Official Contact | 7168931010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Mobile Medical Care Pc 40 La Riviere Dr Ste 500 Buffalo NY 14202-4344 Ph: (716) 893-1010 | Physician Mobile Medical Care Pc 40 La Riviere Dr Ste 500 Buffalo NY 14202-4344 Ph: (716) 893-1010 |
| NPI Number | 1518765502 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Medicare PECOS PAC ID | 8426575325 |
|---|---|
| Medicare Enrollment ID | O20250505001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518765502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Cory J Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578526240 PECOS PAC ID: 8820984123 Enrollment ID: I20040224000879 |
| Provider Name | Mary Christine Uebbing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730136805 PECOS PAC ID: 0941197099 Enrollment ID: I20040303000053 |
| Provider Name | James S Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104819200 PECOS PAC ID: 0446141394 Enrollment ID: I20050629000196 |
| Provider Name | Barbara L Jeffers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770584138 PECOS PAC ID: 4981626371 Enrollment ID: I20051229000128 |
| Provider Name | Carolyn A Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720053416 PECOS PAC ID: 0749296358 Enrollment ID: I20060306000396 |
| Provider Name | Edward J Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649245812 PECOS PAC ID: 4082622428 Enrollment ID: I20060403000028 |
| Provider Name | Rozy Nelofar Wani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245295492 PECOS PAC ID: 7113092339 Enrollment ID: I20100503000026 |
| Provider Name | Stephanie Ann Wodowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083877930 PECOS PAC ID: 3375676307 Enrollment ID: I20100814000040 |
| Provider Name | Philip A Penepent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265499008 PECOS PAC ID: 6507843349 Enrollment ID: I20100907000332 |
| Provider Name | Jialin S Nah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336334457 PECOS PAC ID: 8921283672 Enrollment ID: I20110425000304 |
| Provider Name | Mary A Rykert Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023012853 PECOS PAC ID: 1153509153 Enrollment ID: I20110622000116 |
| Provider Name | Dawn K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417254848 PECOS PAC ID: 4880872449 Enrollment ID: I20110629000760 |
| Provider Name | Jennifer Marie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861623092 PECOS PAC ID: 6204008618 Enrollment ID: I20111007000030 |
| Provider Name | Laura Spyche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760511034 PECOS PAC ID: 6800028622 Enrollment ID: I20140410000226 |
| Provider Name | Hollie Bojarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467850735 PECOS PAC ID: 1951615517 Enrollment ID: I20150728003283 |
| Provider Name | Tania Lawniczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952588873 PECOS PAC ID: 6002190238 Enrollment ID: I20171221001636 |
| Provider Name | Rachel Pughsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841602919 PECOS PAC ID: 5092930339 Enrollment ID: I20190607001942 |
| Provider Name | Michael H Kueker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013414986 PECOS PAC ID: 2860739257 Enrollment ID: I20200228000863 |
| Provider Name | Stanley B Clifton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811341878 PECOS PAC ID: 4082900659 Enrollment ID: I20230808000581 |
| Provider Name | Joelle M Kozierowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316722770 PECOS PAC ID: 4688022494 Enrollment ID: I20231204002515 |
| Provider Name | Alina Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851164461 PECOS PAC ID: 2961851332 Enrollment ID: I20231211001283 |
| Provider Name | Johnny Mei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790808095 PECOS PAC ID: 3870682958 Enrollment ID: I20240716001831 |
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 | |
Nutrition With Noelle P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Sheridan Dr, Buffalo, NY 14223 Phone: 716-417-6388 |