Dr Krishna Vijay Persaud, MD | |
4418 E Ridge Rd, Williamson Medical Pllc, Williamson, NY 14589-9375 | |
(315) 589-4641 | |
(315) 589-9585 |
Full Name | Dr Krishna Vijay Persaud |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 4418 E Ridge Rd, Williamson, 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 |
---|---|---|---|
1508829284 | NPI | - | NPPES |
01535859 | Medicaid | NY | |
102914AA | Other | NY | PREFERRED CARE ALLERGY |
102914BJ | Other | NY | PREFERRED CARE IM |
030000058 | Other | NY | BLUE CHOICE ALLERGY |
010000058 | Other | NY | BLUE CHOICE IM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 205585 (New York) | Secondary |
207R00000X | Internal Medicine | 205585 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lifetime Care Chha | Rochester, NY | Home health agency |
Strong Memorial Hospital | Rochester, NY | Hospital |
Rochester General Hospital | Rochester, NY | Hospital |
Newark-wayne Community Hospital | Newark, NY | Hospital |
Clifton Springs Hospital And Clinic | Clifton springs, NY | Hospital |
Sodus Rehabilitation & Nursing Center | Sodus, NY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Strong Medical Group | 6608850987 | 35 |
Entity Name | Strong Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184664948 PECOS PAC ID: 6608850987 Enrollment ID: O20040615000722 |
Mailing Address | Practice Location Address |
---|---|
Dr Krishna Vijay Persaud, MD 4418 E Ridge Rd, Williamson, NY 14589-9375 Ph: (315) 589-4641 | Dr Krishna Vijay Persaud, MD 4418 E Ridge Rd, Williamson Medical Pllc, Williamson, NY 14589-9375 Ph: (315) 589-4641 |