Ceferino Reyes Villa Fuerte Jr, MD is a
General Practice physician based in Corinth, New York. Ceferino Reyes Villa Fuerte Jr is licensed to practice in New York (license number NY105492) and his current practice location is 200 Smith Drive, Adirondack Clinic, Corinth, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 654-7680.
NPI number for Ceferino Reyes Villa Fuerte Jr is 1811041155 and his current mailing address is Po Box 220, 133 East Main St, Cambridge, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811041155.
Physician's Profile
| Full Name | Ceferino Reyes Villa Fuerte Jr |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 200 Smith Drive, Corinth, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811041155
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ceferino Reyes Villa Fuerte Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811041155 | NPI | - | NPPES |
| 00358310 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | NY105492 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ceferino Reyes Villa Fuerte Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ceferino Reyes Villa Fuerte Jr, MD
Po Box 220, 133 East Main St,
Cambridge, NY 12816
Ph: (518) 677-5723 | Ceferino Reyes Villa Fuerte Jr, MD
200 Smith Drive, Adirondack Clinic,
Corinth, NY 12822
Ph: (518) 654-7680 |
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