Dr John Marshall Tyo, DO | |
219 Bryant Street, Buffalo, NY 14222-2006 | |
(716) 878-7109 | |
(716) 888-3874 |
Full Name | Dr John Marshall Tyo |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 219 Bryant Street, Buffalo, 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 |
---|---|---|---|
1205892171 | NPI | - | NPPES |
3991525 | Other | IHA | |
000525797001 | Other | BC/BS | |
00020541001 | Other | UNIVERA | |
0018460620001 | Medicaid | PA | |
01988229 | Medicaid | NY | |
040426001680 | Other | FIDELIS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 213803 (New York) | Primary |
Entity Name | University At Buffalo Pediatric Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912928599 PECOS PAC ID: 1355235540 Enrollment ID: O20040210000076 |
Mailing Address | Practice Location Address |
---|---|
Dr John Marshall Tyo, DO 4511 Harlem Road, Suite 202, Amherst, NY 14226-3822 Ph: (716) 839-6720 | Dr John Marshall Tyo, DO 219 Bryant Street, Buffalo, NY 14222-2006 Ph: (716) 878-7109 |
Dr. Lauren Davidson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 219 Bryant St, Buffalo, NY 14222 Phone: 716-878-7355 | |
Jack Daniel Halligan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-0220 | |
Dr. Mary Ellen Emborsky, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Main St Fl 5, Buffalo, NY 14203 Phone: 716-323-0220 Fax: 716-323-0293 | |
Dr. Meghan E Jacobs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-2000 Fax: 716-323-0293 | |
Dr. Mona Bonanno, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Main St Fl 4, Buffalo, NY 14203 Phone: 716-323-0260 Fax: 716-323-0294 | |
Dr. Roger A Forden, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 341 Englewood Ave, Buffalo, NY 14223 Phone: 716-833-2333 Fax: 716-833-3972 | |
Dr. Jessica Aliotta Donhauser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-2000 Fax: 716-323-0599 |