Alexander Brian Knudsen, MD | |
5415 W Genesee St, Suite 301, Camillus, NY 13031-2162 | |
(315) 487-8109 | |
(315) 487-5680 |
Full Name | Alexander Brian Knudsen |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 5415 W Genesee St, Camillus, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831169416 | NPI | - | NPPES |
1774441 | Other | NY | LICENSE NUMBER |
01536823 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1774441 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home (liverpool) | Liverpool, NY | Home health agency |
Hospice Of Central New York | Liverpool, NY | Hospice |
University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Preventive Medicine Associates Llc | 5294740924 | 7 |
Entity Name | Preventive Medicine Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710099304 PECOS PAC ID: 5294740924 Enrollment ID: O20060216000053 |
Mailing Address | Practice Location Address |
---|---|
Alexander Brian Knudsen, MD 5415 W Genesee St, Suite 301, Camillus, NY 13031-2162 Ph: (315) 487-8109 | Alexander Brian Knudsen, MD 5415 W Genesee St, Suite 301, Camillus, NY 13031-2162 Ph: (315) 487-8109 |
Dr. Okosun Edoro, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5700 W Genesee St Ste 109, Camillus, NY 13031 Phone: 315-487-1573 Fax: 315-487-2418 | |
Margaret Spinosa, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 260 Township Blvd Ste 20, Camillus, NY 13031 Phone: 315-708-0190 Fax: 315-488-3284 | |
Theodore Koh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0091 Fax: 315-708-0194 | |
Scott A Edison, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0091 Fax: 315-708-0194 | |
Martin T Noonan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5417 W Genesee St Ste 3, Camillus, NY 13031 Phone: 315-476-2325 | |
Dr. John Sun, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Township Blvd, Ste 20, Camillus, NY 13031 Phone: 315-708-0091 Fax: 315-708-0194 | |
Dr. Robert Elmer Westlake Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 W Genesee St, Suite 201n, Camillus, NY 13031 Phone: 315-488-1438 Fax: 315-468-0792 |