Dr Brendan Michael O'donnell, DO | |
24 Groton Ave, Cortland, NY 13045-2014 | |
(607) 753-3774 | |
(607) 753-3947 |
Full Name | Dr Brendan Michael O'donnell |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 24 Groton Ave, Cortland, 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 |
---|---|---|---|
1750611190 | NPI | - | NPPES |
03722667 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | OS18219 (Florida) | Secondary |
207V00000X | Obstetrics & Gynecology | 268557 (New York) | Primary |
Entity Name | Blue Ridge Medical Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383 |
Mailing Address | Practice Location Address |
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Dr Brendan Michael O'donnell, DO 85 S West St, Homer, NY 13077-1542 Ph: (607) 753-3797 | Dr Brendan Michael O'donnell, DO 24 Groton Ave, Cortland, NY 13045-2014 Ph: (607) 753-3774 |
Anna Marie Garcia, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 103 N Main St, Cortland, NY 13045 Phone: 607-758-9977 Fax: 607-758-9907 | |
Jacqueline Rose Tomko, NP RNC MSN Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11 Alvena Ave, Suite 101, Cortland, NY 13045 Phone: 607-753-7578 Fax: 607-758-3193 | |
Dr. Jose A Torrado, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 103n Main St, Cortland, NY 13045 Phone: 607-758-9977 Fax: 607-758-5420 | |
David Mayo, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 141 Groton Ave, Cortland, NY 13045 Phone: 607-662-0103 Fax: 607-662-0601 | |
Kelly Elizabeth Noble, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4038 West Rd, Cortland, NY 13045 Phone: 607-758-3008 | |
In Whan Oh, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4038 West Rd, Cortland, NY 13045 Phone: 607-758-3008 Fax: 607-758-9515 |