Dr John Lewis Fedullo, D O | |
4988 State Highway 30, Amsterdam, NY 12010-7520 | |
(518) 841-3481 | |
Not Available |
Full Name | Dr John Lewis Fedullo |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 31 Years |
Location | 4988 State Highway 30, Amsterdam, 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 |
---|---|---|---|
1538364237 | NPI | - | NPPES |
1720051428 | Other | NY | GROUP NPI |
01762629 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 197917 (New York) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 197917 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospice, Inc, The | Rensselaer, NY | Hospice |
St Mary's Healthcare | Amsterdam, NY | Hospital |
Nathan Littauer Hospital | Gloversville, NY | Hospital |
Sunnyview Hospital And Rehabilitation Center | Schenectady, NY | Hospital |
Wilkinson Residential Health Care Facility | Amsterdam, NY | Nursing home |
Suffolk Center For Rehabilitation And Nursing | Patchogue, NY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nysarc Inc Fulton County Chapter | 5890717979 | 22 |
St. Mary's Healthcare | 7618960709 | 79 |
Entity Name | St. Mary's Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518926401 PECOS PAC ID: 7618960709 Enrollment ID: O20040405001628 |
Entity Name | Nysarc Inc Fulton County Chapter |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245309434 PECOS PAC ID: 5890717979 Enrollment ID: O20060104000133 |
Entity Name | Hospice Of Fulton County Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396759213 PECOS PAC ID: 1254362528 Enrollment ID: O20201212000108 |
Mailing Address | Practice Location Address |
---|---|
Dr John Lewis Fedullo, D O 4988 State Highway 30, Amsterdam, NY 12010-7520 Ph: (518) 841-3481 | Dr John Lewis Fedullo, D O 4988 State Highway 30, Amsterdam, NY 12010-7520 Ph: (518) 841-3481 |
Kelly L La Foe, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 43 Liberty Dr, Amsterdam, NY 12010 Phone: 518-954-5080 | |
Dr. Paul William Salerno, M.D Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 67 Division St, Amsterdam, NY 12010 Phone: 518-842-2723 Fax: 518-842-6573 | |
Dr. Romario Ferreira De Sousa, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5010 State Highway 30 Ste G03, Amsterdam, NY 12010 Phone: 518-841-3406 Fax: 518-841-3405 | |
Regina Marie Breton, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 427 Guy Park Ave, Amsterdam, NY 12010 Phone: 518-841-7385 |