| Sheridan Drive Medical Group Llp | |
|
1491 Sheridan Dr Tonawanda NY 14217-1234 | |
| (716) 332-4476 | |
| (716) 332-4479 |
| Full Name | Sheridan Drive Medical Group Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1491 Sheridan Dr, Tonawanda, New York |
| Authorized Official Name and Position | Anne Elizabeth Campagna (OFFICE MANAGER) |
| Authorized Official Contact | 7163324476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan Drive Medical Group Llp 1491 Sheridan Dr Tonawanda NY 14217-1234 Ph: (716) 332-4476 | Sheridan Drive Medical Group Llp 1491 Sheridan Dr Tonawanda NY 14217-1234 Ph: (716) 332-4476 |
| NPI Number | 1679684625 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 8820900376 |
|---|---|
| Medicare Enrollment ID | O20031103000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679684625 | NPI | - | NPPES |
| 01345179 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 183745 (New York) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 183745 (New York) | Secondary |
| Provider Name | Rajiv K Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568436004 PECOS PAC ID: 7517879075 Enrollment ID: I20040423000050 |
| Provider Name | Elizabeth A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
| Provider Name | Susan M Szimonisz-setteducati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285722462 PECOS PAC ID: 0941332373 Enrollment ID: I20100720000532 |
| Provider Name | Richard A Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740246735 PECOS PAC ID: 3072425537 Enrollment ID: I20110622000566 |
| Provider Name | Karen Hay Binis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821158866 PECOS PAC ID: 5799065207 Enrollment ID: I20170928000030 |
| Provider Name | Geri Lynn M Berard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538744040 PECOS PAC ID: 5395140701 Enrollment ID: I20210824001081 |
William Stephan, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4080 Delaware Ave, Tonawanda, NY 14150 Phone: 716-875-7399 Fax: 716-692-4342 | |
Kaitlin Smith Phd Psychologist Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 884 Brighton Rd, Tonawanda, NY 14150 Phone: 716-517-0419 | |
Richard S Castaldo Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Niagara St, Tonawanda, NY 14150 Phone: 716-743-5450 Fax: 716-743-5455 | |
Ladota Optometry, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 363 Delaware St, Tonawanda, NY 14150 Phone: 716-695-2025 | |
Parker Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1564 Parker Blvd, Tonawanda, NY 14150 Phone: 207-240-3782 | |
Des Consulting Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 884 Brighton Rd, Tonawanda, NY 14150 Phone: 716-836-9460 Fax: 716-836-9462 |