Dr Eldad Vered, MD | |
7785 N State St Ste 210, Lowville, NY 13367-1229 | |
(315) 376-5475 | |
(315) 376-5129 |
Full Name | Dr Eldad Vered |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 7785 N State St Ste 210, Lowville, 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 |
---|---|---|---|
1396815023 | NPI | - | NPPES |
1396815023 | Medicaid | UT | |
85129836 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 6934299-8017 (Utah) | Secondary |
207V00000X | Obstetrics & Gynecology | 175485 (New York) | Primary |
Entity Name | Eastern Maine Healthcare Systems Inland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376579557 PECOS PAC ID: 6305817503 Enrollment ID: O20040802001656 |
Entity Name | Franklin Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558305847 PECOS PAC ID: 4385615145 Enrollment ID: O20090805000364 |
Mailing Address | Practice Location Address |
---|---|
Dr Eldad Vered, MD 2376 N 400 E, 204, Tooele, UT 84074-3413 Ph: (435) 882-1433 | Dr Eldad Vered, MD 7785 N State St Ste 210, Lowville, NY 13367-1229 Ph: (315) 376-5475 |
Martha Lynn Pisaniello, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St Fl 3, Lowville, NY 13367 Phone: 315-376-5287 Fax: 315-376-3228 | |
Frederick Lee Dutton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St Ste 210, Lowville, NY 13367 Phone: 315-376-5475 Fax: 315-376-5129 | |
Dr. Cynthia H Fraser, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St, Suite 210, Lowville, NY 13367 Phone: 315-348-8407 Fax: 315-376-5129 | |
Dr. Adewale Kabir Adegbenro, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7785 N State St, Lowville, NY 13367 Phone: 315-376-9626 Fax: 315-376-5444 | |
Kelly Rose Birchenough, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7785 N State St Ste 210, Lowville, NY 13367 Phone: 315-376-5475 Fax: 315-376-5129 | |
Josefina Tan- Domingo, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7785 N State St, Suite 210, Lowville, NY 13367 Phone: 315-376-5475 Fax: 315-376-5129 |