| Premier Family Physicians, P.c. | |
|
1150 Youngs Rd Suite 203 Williamsville NY 14221-8053 | |
| (716) 688-7344 | |
| (716) 688-7345 |
| Full Name | Premier Family Physicians, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1150 Youngs Rd, Williamsville, New York |
| Authorized Official Name and Position | Nita K Divan (OWNER) |
| Authorized Official Contact | 7166887344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Physicians, P.c. Po Box 1528 Williamsville NY 14231-1528 Ph: (716) 688-7344 | Premier Family Physicians, P.c. 1150 Youngs Rd Suite 203 Williamsville NY 14221-8053 Ph: (716) 688-7344 |
| NPI Number | 1730365073 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 12/19/2009 |
| Medicare PECOS PAC ID | 3072537398 |
|---|---|
| Medicare Enrollment ID | O20060125000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730365073 | NPI | - | NPPES |
| 01657107 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nita K Divan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386608339 PECOS PAC ID: 6507805306 Enrollment ID: I20050502000281 |
| Provider Name | Elizabeth A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
| Provider Name | Ashley Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
Buffalo Niagara Music Therapy Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8207 Main St, 11b, Williamsville, NY 14221 Phone: 716-243-2776 | |
Buffalo Hospitalist Services, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 Maple Rd, Williamsville, NY 14221 Phone: 716-481-7384 | |
Allyn M. Norman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple Rd, Williamsville, NY 14221 Phone: 716-204-4532 Fax: 716-204-4557 | |
Medical Weight Loss And Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 Harris Hill Rd, Suite 207, Williamsville, NY 14221 Phone: 716-634-4798 Fax: 716-634-0987 | |
Premier Health Partners Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 N Union Rd Ste 101, Williamsville, NY 14221 Phone: 716-710-7807 | |
Trinity Medical Wny Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Park Club Lane, Suite 100, Williamsville, NY 14221 Phone: 716-204-1101 | |
Megha Patel Family Health Np Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 71 Ponderosa Dr, Williamsville, NY 14221 Phone: 513-405-8652 |