Dr Kerry L Katlic, MD | |
2067 Fairport Nine Mile Pt Rd, Penfield, NY 14526-1753 | |
(585) 922-0460 | |
(585) 922-0470 |
Full Name | Dr Kerry L Katlic |
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Gender | Male |
Speciality | Pediatrics |
Location | 2067 Fairport Nine Mile Pt Rd, Penfield, 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 |
---|---|---|---|
1306814660 | NPI | - | NPPES |
00762047 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 146679 (New York) | Primary |
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | Western New York Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
Mailing Address | Practice Location Address |
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Dr Kerry L Katlic, MD 2067 Fairport Nine Mile Pt Rd, Penfield, NY 14526-1753 Ph: (585) 922-0460 | Dr Kerry L Katlic, MD 2067 Fairport Nine Mile Pt Rd, Penfield, NY 14526-1753 Ph: (585) 922-0460 |
Barbara Heintz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Willow Pond Way, Ste 200, Penfield, NY 14526 Phone: 585-377-0840 Fax: 585-377-9715 | |
Dr. Eric M Socha, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Willow Pond Way Ste 200, Penfield, NY 14526 Phone: 585-377-0840 Fax: 585-377-9715 | |
Timothy Gerard Geen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Willow Pond Way, Ste 200, Penfield, NY 14526 Phone: 585-377-0840 Fax: 585-377-9715 | |
Dr. Andrea H Hernady, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2067 Fairport Nine Mile Pt Rd, Penfield, NY 14526 Phone: 585-922-0460 Fax: 585-922-0470 | |
Dr. Kevin E Klossner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2067 Fairport Nine Mile Pt Rd, Penfield, NY 14526 Phone: 585-922-0460 Fax: 585-922-0470 | |
Elliot Ira Kaplan, M.D.,PHD. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Willow Pond Way, Ste 200, Penfield, NY 14526 Phone: 585-377-0840 Fax: 585-377-9715 |