Brummitte Dale Wilson, MD | |
3900 N Buffalo St, Orchard Park, NY 14127-1842 | |
(716) 656-4494 | |
(716) 648-1552 |
Full Name | Brummitte Dale Wilson |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 48 Years |
Location | 3900 N Buffalo St, Orchard Park, 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 |
---|---|---|---|
1245237288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 134469 (New York) | Primary |
207NS0135X | Dermatology - Procedural Dermatology | 1344691 (New York) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Buffalo Medical Group, P.c. | 7012820301 | 237 |
Entity Name | Buffalo Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213 |
Mailing Address | Practice Location Address |
---|---|
Brummitte Dale Wilson, MD 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219 | Brummitte Dale Wilson, MD 3900 N Buffalo St, Orchard Park, NY 14127-1842 Ph: (716) 656-4494 |
Paul Joseph Wirth, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-656-4477 | |
Dr. Laura Ureta, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3345 Southwestern Blvd, Orchard Park, NY 14127 Phone: 716-656-4899 Fax: 716-250-5929 | |
Peter Santa Lucia, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-656-4497 Fax: 716-648-1552 | |
Dr. Jenna Lyn O'neill, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3900 North Buffalo Road, Buffalo Medical Group, Orchard Park, NY 14127 Phone: 716-656-4829 Fax: 716-250-5934 | |
Dr. Cornelie M. Jones, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-648-2770 Fax: 716-648-1552 | |
Dr. Peter Accetta, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3045 Southwestern Blvd Ste 104, Orchard Park, NY 14127 Phone: 716-675-7000 Fax: 716-674-4630 |