Dr Michael Detraglia, MD | |
1425 Portland Ave, Rochester General Hospital, Rochester, NY 14621-3001 | |
(585) 922-4159 | |
(585) 922-3731 |
Full Name | Dr Michael Detraglia |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 41 Years |
Location | 1425 Portland Ave, Rochester, 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 |
---|---|---|---|
1962447912 | NPI | - | NPPES |
P010016940 | Other | NY | EXCELLUS BLUE CHOICE |
CAN169401-7 | Other | NY | WORKERS' COMPENSATION |
01041881 | Medicaid | NY | |
103217AF | Other | NY | PREFERRED CARE |
3417 | Other | NY | EXCELLUS BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 169401-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rochester General Hospital | Rochester, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of Rochester Pc | 5193639722 | 90 |
Entity Name | Anesthesia Associates Of Rochester Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760421788 PECOS PAC ID: 5193639722 Enrollment ID: O20031118000064 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Detraglia, MD 130 Allens Creek Rd, Rochester, NY 14618-3305 Ph: (585) 410-6545 | Dr Michael Detraglia, MD 1425 Portland Ave, Rochester General Hospital, Rochester, NY 14621-3001 Ph: (585) 922-4159 |
Dr. Brian John Thomas, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box 604, Rochester, NY 14642 Phone: 585-275-1384 Fax: 585-276-0122 | |
Dr. Yichun Lin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave., Rochester, NY 14642 Phone: 585-275-2141 | |
Vito J Potenza, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1555 Long Pond Rd, Rochester, NY 14626 Phone: 585-255-8966 | |
Dr. Jens Ingemann Jensen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 604, Rochester, NY 14642 Phone: 585-275-5982 Fax: 585-756-0169 | |
Robert Dionisio, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 59 Lilac Dr Apt 7, Rochester, NY 14620 Phone: 607-768-5727 | |
Karen Jaranowski, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1555 Long Pond Rd, Rochester, NY 14626 Phone: 585-255-8966 | |
Dr. John Kimes Schroeder, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Avenue, Box 604, Urmc, Department Of Anesthesiology, Rochester, NY 14642 Phone: 585-276-3967 |