Ayesha Tasaddaq, MD | |
60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 | |
(585) 335-6041 | |
(585) 335-6764 |
Full Name | Ayesha Tasaddaq |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | 60 Red Jacket St, Dansville, 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 |
---|---|---|---|
1972831782 | NPI | - | NPPES |
03252595 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 258140 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nicholas H Noyes Memorial Hospital | Dansville, NY | Hospital |
St James Mercy Hospital | Hornell, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tri-county Family Medicine Program, Inc. | 4183699937 | 19 |
Entity Name | Tri-county Family Medicine Program, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588649503 PECOS PAC ID: 4183699937 Enrollment ID: O20040826000720 |
Mailing Address | Practice Location Address |
---|---|
Ayesha Tasaddaq, MD Po Box 601, 10869 Rte 36 South, Dansville, NY 14437-0601 Ph: (585) 335-3416 | Ayesha Tasaddaq, MD 60 Red Jacket St, Suite 1, Dansville, NY 14437-0339 Ph: (585) 335-6041 |
Dr. Jennifer Graham, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 22 Red Jacket St, Dansville, NY 14437 Phone: 585-335-5200 Fax: 585-335-5037 | |
Dr. Geoffrey Wittig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Red Jacket St, Suite 1, Dansville, NY 14437 Phone: 585-335-6041 Fax: 585-335-6764 |