Dr Dermot M Reynolds, MD | |
5301 W Genesee St, Camillus, NY 13031-2260 | |
(607) 798-5971 | |
(315) 833-9998 |
Full Name | Dr Dermot M Reynolds |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 29 Years |
Location | 5301 W Genesee St, Camillus, 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 |
---|---|---|---|
1487627139 | NPI | - | NPPES |
P00120718 | Other | PA | RR MEDICARE PIN |
1487627139 | Medicaid | NY | |
GU039978 | Other | PA | PA MEDICARE GROUP |
1008319990001 | Medicaid | PA | |
02521846 | Medicaid | NY | |
CC9269 | Other | PA | RR MEDICARE GROUP |
PA MEDICARE GROUP | Other | PA | GU039809 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD422314 (Pennsylvania) | Secondary |
207X00000X | Orthopaedic Surgery | 250206-01 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeastern Home Health Services | Bristol, PA | Home health agency |
Guthrie Home Health | Towanda, PA | Home health agency |
Lourdes Hospital | Binghamton, NY | Hospital |
Robert Packer Hospital | Sayre, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 223 |
Southern Tier Medical Care - Ny Pc | 4981953106 | 9 |
Entity Name | Guthrie Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
Entity Name | St Josephs Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
Entity Name | Southern Tier Medical Care - Ny Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134646276 PECOS PAC ID: 4981953106 Enrollment ID: O20180822000720 |
Mailing Address | Practice Location Address |
---|---|
Dr Dermot M Reynolds, MD 5301 W Genesee St, Camillus, NY 13031-2260 Ph: (607) 798-5971 | Dr Dermot M Reynolds, MD 5301 W Genesee St, Camillus, NY 13031-2260 Ph: (607) 798-5971 |