Dr Christopher John Prendergast, MD | |
725 Irving Ave Ste 804, Syracuse, NY 13210-1682 | |
(315) 214-7700 | |
(315) 214-7701 |
Full Name | Dr Christopher John Prendergast |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 14 Years |
Location | 725 Irving Ave Ste 804, Syracuse, 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 |
---|---|---|---|
1760700108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 291866 (New York) | Secondary |
208000000X | Pediatrics | 291866 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pediatric Cardiology Associates, Llc | 1153383773 | 4 |
Entity Name | Pediatric Cardiology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316986391 PECOS PAC ID: 3870490139 Enrollment ID: O20031215000847 |
Entity Name | United Health Services Hospitals, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
Entity Name | Canton-potsdam Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
Entity Name | Pediatric Cardiology Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932258985 PECOS PAC ID: 1153383773 Enrollment ID: O20041027000283 |
Entity Name | Gouverneur Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
Entity Name | Massena Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972604460 PECOS PAC ID: 1456781491 Enrollment ID: O20200515000493 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher John Prendergast, MD 725 Irving Ave Ste 804, Syracuse, NY 13210-1682 Ph: (315) 214-7700 | Dr Christopher John Prendergast, MD 725 Irving Ave Ste 804, Syracuse, NY 13210-1682 Ph: (315) 214-7700 |
Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923 | |
Dr. David William Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Phone: 315-464-5726 Fax: 315-464-2510 | |
Dr. Audrey Victoria Vandewall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-408-5854 | |
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030 | |
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322 | |
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420 | |
Steven David Blatt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030 |