| Wells Gastroenterology Pllc | |
|
6000 N Bailey Ave Amherst NY 14226-5102 | |
| (716) 834-6152 | |
| (716) 834-5755 |
| Full Name | Wells Gastroenterology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6000 N Bailey Ave, Amherst, New York |
| Authorized Official Name and Position | Theodore V Wells (PRESIDENT) |
| Authorized Official Contact | 7168346152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wells Gastroenterology Pllc 6000 N Bailey Ave Amherst NY 14226-5102 Ph: (716) 834-6152 | Wells Gastroenterology Pllc 6000 N Bailey Ave Amherst NY 14226-5102 Ph: (716) 834-6152 |
| NPI Number | 1144391772 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/27/2014 |
| Medicare PECOS PAC ID | 7517045289 |
|---|---|
| Medicare Enrollment ID | O20080421000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144391772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 194653 (New York) | Primary |
| Provider Name | Theodore V Wells |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619958816 PECOS PAC ID: 4284712951 Enrollment ID: I20080421000420 |
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