| Robert Erickson DO and Jennifer Erickson DO LLC | |
|
3671 Southwestern Blvd St 213 Orchard Park NY 14127 | |
| (716) 667-2673 | |
| (716) 662-5226 |
| Full Name | Robert Erickson DO and Jennifer Erickson DO LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3671 Southwestern Blvd St 213, Orchard Park, New York |
| Authorized Official Name and Position | Robert J Erickson (PRESIDENT) |
| Authorized Official Contact | 7166672673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Erickson DO and Jennifer Erickson DO LLC 3671 Southwestern Blvd St 213 Orchard Park NY 14127 Ph: (716) 667-2673 | Robert Erickson DO and Jennifer Erickson DO LLC 3671 Southwestern Blvd St 213 Orchard Park NY 14127 Ph: (716) 667-2673 |
| NPI Number | 1992866990 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 06/05/2020 |
| Certification Date | 06/05/2020 |
| Medicare PECOS PAC ID | 5991748626 |
|---|---|
| Medicare Enrollment ID | O20050603000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992866990 | NPI | - | NPPES |
| 01781759 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 175824 (New York) | Primary |
| Provider Name | Kathleen L Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942584867 PECOS PAC ID: 1850384843 Enrollment ID: I20040406000547 |
| Provider Name | Robert J Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093771396 PECOS PAC ID: 9931001468 Enrollment ID: I20050603000765 |
| Provider Name | Elizabeth a Colarusso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902862204 PECOS PAC ID: 0749223535 Enrollment ID: I20050603000790 |
| Provider Name | Darren Caparaso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699731588 PECOS PAC ID: 3375686496 Enrollment ID: I20100211000159 |
| Provider Name | Charles W Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437134947 PECOS PAC ID: 8022153980 Enrollment ID: I20100303000177 |
| Provider Name | Jennifer N Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609832914 PECOS PAC ID: 0941243687 Enrollment ID: I20100826000023 |
| Provider Name | Maureen J Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912925686 PECOS PAC ID: 5890981690 Enrollment ID: I20101118001103 |
| Provider Name | Michael Thomas Doldan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457686347 PECOS PAC ID: 6901082676 Enrollment ID: I20110513000018 |
| Provider Name | Darren Holland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811285455 PECOS PAC ID: 8325217490 Enrollment ID: I20110805000276 |
| Provider Name | Valerie a Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245527688 PECOS PAC ID: 1658541081 Enrollment ID: I20110823000298 |
| Provider Name | Lauren M Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538661988 PECOS PAC ID: 7618230285 Enrollment ID: I20180412000884 |
| Provider Name | Nicole L Moretta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639628811 PECOS PAC ID: 1153685268 Enrollment ID: I20180425001991 |
| Provider Name | Mark P Eberhard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760945877 PECOS PAC ID: 2769724160 Enrollment ID: I20190506001317 |
| Provider Name | Betsy R Mikac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871124560 PECOS PAC ID: 8628492519 Enrollment ID: I20200724001539 |
| Provider Name | David M Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508363664 PECOS PAC ID: 1254678717 Enrollment ID: I20221006000663 |
| Provider Name | Kaitlin Dragonette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902509599 PECOS PAC ID: 3577938588 Enrollment ID: I20230405000360 |
| Provider Name | Kathryn a Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154173482 PECOS PAC ID: 9335580612 Enrollment ID: I20240517001081 |
| Provider Name | Christopher Siuta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982721841 PECOS PAC ID: 1658889290 Enrollment ID: I20250805000321 |
General Physician, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5959 Big Tree Rd Ste 102, Orchard Park, NY 14127 Phone: 716-422-5677 |
Jennifer M. Ruh, MD, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3725 N Buffalo Rd., Orchard Park, NY 14127 Phone: 716-508-4040 Fax: 716-508-8038 |
John F Reilly MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 53 Briar Hill Rd, Orchard Park, NY 14127 Phone: 716-662-3723 |
Quaker Medical Associates, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3560 N Buffalo St, Orchard Park, NY 14127 Phone: 716-662-8510 Fax: 716-662-8574 |
David P Kowalski MD Family Practice PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3065 Southwestern Blvd, Ste 104, Orchard Park, NY 14127 Phone: 716-677-3065 Fax: 716-677-3065 |
Ronald Palazzo, M.D., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3671 Southwestern Blvd, Suite 109, Orchard Park, NY 14127 Phone: 716-662-9045 Fax: 716-662-9012 |