David Heisig, MD | |
4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | |
(315) 492-5765 | |
(315) 492-5123 |
Full Name | David Heisig |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 4870 Broad Rd, Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851305437 | NPI | - | NPPES |
00978276 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | 164528 (New York) | Primary |
Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
Mailing Address | Practice Location Address |
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David Heisig, MD 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 Ph: (315) 492-5765 | David Heisig, MD 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 Ph: (315) 492-5765 |
Courtney Myers, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210 Phone: 315-464-5815 | |
Joan Marie Mitchell, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4828 Fax: 315-425-4827 | |
Saverio J. Barbera, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plaza, Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 | |
Gordana Obradovic, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211 | |
Kristin A Ramella, NP Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 | |
Vinodhini M Subramanian, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Robert R. Michiel, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |