Dr Robert Charles Welliver Jr, MD | |
23 Hackett Blvd, Albany, NY 12208-3436 | |
(518) 262-3341 | |
(518) 262-6660 |
Full Name | Dr Robert Charles Welliver Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 16 Years |
Location | 23 Hackett Blvd, Albany, 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 |
---|---|---|---|
1124287651 | NPI | - | NPPES |
036133090 | Medicaid | IL | |
03940636 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036-133090 (Illinois) | Secondary |
208800000X | Urology | 274981 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Albany Medical Center Hospital | Albany, NY | Hospital |
Columbia Memorial Hospital | Hudson, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Albany Medical College | 1759293111 | 915 |
Columbia Memorial Hospital | 5092709410 | 183 |
Entity Name | Albany Medical College |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Entity Name | Columbia Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083639587 PECOS PAC ID: 5092709410 Enrollment ID: O20040409000109 |
Entity Name | Albany Medical College |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Charles Welliver Jr, MD 711 Troy Schenectady Rd, Suite 203, Latham, NY 12110-2442 Ph: (518) 782-3700 | Dr Robert Charles Welliver Jr, MD 23 Hackett Blvd, Albany, NY 12208-3436 Ph: (518) 262-3341 |
Dr. Jonah Marshall, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 319 S Manning Blvd Ste 106, Albany, NY 12208 Phone: 518-438-1019 Fax: 518-489-7642 | |
Rebecca Leigh O'malley, MD Urology Medicare: Medicare Enrolled Practice Location: 23 Hackett Blvd, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Brian Patrick Murray, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Executive Park, Albany, NY 12203 Phone: 518-489-7494 Fax: 518-489-7641 | |
Dr. Adam Shattuck Howe, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 23 Hackett Blvd # Mc-108, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Jean G. Hollowell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 23 Hackett Blvd, Mc 208, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Barry Kogan, Urology Medicare: Medicare Enrolled Practice Location: South Clinical Campus, 23 Hackett Blvd. (mc 208), Albany, NY 12208 Phone: 518-262-3341 |