Dr James R Tichenor Jr, MD | |
1522 Old Burrstone Rd, Utica, NY 13502-4804 | |
(315) 797-2450 | |
(315) 792-4641 |
Full Name | Dr James R Tichenor Jr |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1522 Old Burrstone Rd, Utica, 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 |
---|---|---|---|
1508957291 | NPI | - | NPPES |
01924652 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 209734 (New York) | Primary |
Entity Name | Obgyn Hospitalist Medical Services Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518285055 PECOS PAC ID: 9830379759 Enrollment ID: O20110210000282 |
Mailing Address | Practice Location Address |
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Dr James R Tichenor Jr, MD 1522 Old Burrstone Rd, Utica, NY 13502-4854 Ph: (315) 797-2450 | Dr James R Tichenor Jr, MD 1522 Old Burrstone Rd, Utica, NY 13502-4804 Ph: (315) 797-2450 |
Dr. Mark A Godecki, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1522 Old Burrstone Rd, Utica, NY 13502 Phone: 315-797-2450 Fax: 315-792-4641 | |
Mrs. Colleen A Smith, FNPC Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3 Parkside Ct, Utica, NY 13501 Phone: 315-724-6787 Fax: 315-735-6624 | |
Dr. Firooz Ravangard, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave Ste 222, Utica, NY 13502 Phone: 315-724-7734 Fax: 315-724-7816 | |
Dr. Marc A Feiner, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1522 Old Burrstone Rd, Utica, NY 13502 Phone: 315-797-2450 Fax: 315-792-4641 | |
Mukesh Shah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-724-4017 | |
Dr. Lora Lynn Papandrea, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Parkside Ct, Utica, NY 13501 Phone: 315-724-6787 Fax: 315-735-6624 | |
Dr. Angel L Kerney, M.D., Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-6241 Fax: 315-624-6955 |