| Tri-county Family Medicine Program, Inc. | |
|
10869 State Route 36 Dansville NY 14437-9444 | |
| (585) 335-3416 | |
| (585) 335-8695 |
| Full Name | Tri-county Family Medicine Program, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 10869 State Route 36, Dansville, New York |
| Authorized Official Name and Position | Karen a Stone (CEO) |
| Authorized Official Contact | 5855191575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Family Medicine Program, Inc. 10869 State Route 36 Dansville NY 14437-9444 Ph: (585) 335-3100 | Tri-county Family Medicine Program, Inc. 10869 State Route 36 Dansville NY 14437-9444 Ph: (585) 335-3416 |
| NPI Number | 1588649503 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Medicare PECOS PAC ID | 4183699937 |
|---|---|
| Medicare Enrollment ID | O20040826000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588649503 | NPI | - | NPPES |
| 00355257 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2527200R (New York) | Primary |
| Provider Name | Bridget Quibell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255318770 PECOS PAC ID: 7012931314 Enrollment ID: I20060125000247 |
| Provider Name | Lauren C Marino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790964617 PECOS PAC ID: 8426138553 Enrollment ID: I20080102000432 |
| Provider Name | Geoffrey G Wittig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962460014 PECOS PAC ID: 8921183955 Enrollment ID: I20080314000148 |
| Provider Name | Debra a Reifenrath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164453619 PECOS PAC ID: 7719041110 Enrollment ID: I20090130000001 |
| Provider Name | Richard L Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710972013 PECOS PAC ID: 9830256049 Enrollment ID: I20090316000058 |
| Provider Name | Bruce W Mackellar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093769358 PECOS PAC ID: 1456497056 Enrollment ID: I20091013000473 |
| Provider Name | Joseph Depra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851379929 PECOS PAC ID: 1759424864 Enrollment ID: I20100211000139 |
| Provider Name | Jill Matzek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871551937 PECOS PAC ID: 4082758719 Enrollment ID: I20100219000070 |
| Provider Name | Ayesha Tasaddaq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972831782 PECOS PAC ID: 7113112418 Enrollment ID: I20101112000053 |
| Provider Name | Melinda Darci Tellier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861706913 PECOS PAC ID: 3173719564 Enrollment ID: I20101124000658 |
| Provider Name | Nadine Bailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952303448 PECOS PAC ID: 5799090023 Enrollment ID: I20150817000787 |
| Provider Name | Sierra L Quinlan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902250004 PECOS PAC ID: 6608163175 Enrollment ID: I20160927001819 |
| Provider Name | Leah C Kidder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003338278 PECOS PAC ID: 6406129717 Enrollment ID: I20170908001091 |
| Provider Name | Amber Rhow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043775513 PECOS PAC ID: 2769723964 Enrollment ID: I20190417001076 |
| Provider Name | Nichole Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366045312 PECOS PAC ID: 6002223369 Enrollment ID: I20210402000190 |
| Provider Name | Hannah L Saile |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144898438 PECOS PAC ID: 3577967611 Enrollment ID: I20210811001645 |
| Provider Name | Colleen Kilbourne Tracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003313206 PECOS PAC ID: 1456604487 Enrollment ID: I20210914001846 |
| Provider Name | Erin Douthit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588391825 PECOS PAC ID: 8426424458 Enrollment ID: I20221017002386 |
| Provider Name | Christina Marie Cavallaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245981489 PECOS PAC ID: 4981067741 Enrollment ID: I20230825002010 |
| Provider Name | Katie a Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457249997 PECOS PAC ID: 4082103890 Enrollment ID: I20251031000657 |
| Provider Name | Shelby Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376026856 PECOS PAC ID: 2365931078 Enrollment ID: I20251031000903 |
David H. Breen MD PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Elizabeth St, Dansville, NY 14437 Phone: 585-243-4000 Fax: 585-243-4002 |
Shifa Medical PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26 Red Jacket St, Dansville, NY 14437 Phone: 585-335-2210 |
Dansville Internal Medicine Assoc PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Main St, Dansville, NY 14437 Phone: 585-335-8320 |
Tri-county Family Medicine Program, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Red Jacket St Ste 1, Dansville, NY 14437 Phone: 585-335-6041 Fax: 585-335-6764 |