Andrea M Buccilli, MD | |
70 Professional Pkwy, Lockport, NY 14094-5366 | |
(716) 434-7505 | |
(716) 439-9084 |
Full Name | Andrea M Buccilli |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 19 Years |
Location | 70 Professional Pkwy, Lockport, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770724635 | NPI | - | NPPES |
03118054 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 2517621 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mount St. Mary's Hospital & Health Center | Lewiston, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charles J Fetterman Md Pc | 8527038652 | 2 |
Entity Name | Charles J Fetterman Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316004013 PECOS PAC ID: 8527038652 Enrollment ID: O20040727001456 |
Mailing Address | Practice Location Address |
---|---|
Andrea M Buccilli, MD 70 Professional Pkwy, Lockport, NY 14094-5366 Ph: (716) 434-7505 | Andrea M Buccilli, MD 70 Professional Pkwy, Lockport, NY 14094-5366 Ph: (716) 434-7505 |
Dr. Vivian Kudgus Fasula, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 70 Professional Parkway, Lockport, NY 14094 Phone: 716-434-7505 | |
John W Crofts, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 23 Elizabeth Dr, Lockport, NY 14094 Phone: 585-343-8100 | |
Charles J Fetterman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 70 Professional Parkway, Lockport, NY 14094 Phone: 716-434-7505 Fax: 716-439-9084 |