Dr Ruth Ellen Hetland, MD | |
2235 Clinton Ave S, Rochester, NY 14618-2623 | |
(585) 454-6720 | |
(585) 454-7328 |
Full Name | Dr Ruth Ellen Hetland |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 2235 Clinton Ave S, Rochester, 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 |
---|---|---|---|
1457318966 | NPI | - | NPPES |
00718956 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 149798 (New York) | Primary |
Entity Name | Rochester General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | The Unity Hospital Of Rochester |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
Entity Name | Western New York Medical Practice Pc |
---|---|
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 |
---|---|
Dr Ruth Ellen Hetland, MD 2235 Clinton Ave S, Rochester, NY 14618-2623 Ph: (585) 454-6720 | Dr Ruth Ellen Hetland, MD 2235 Clinton Ave S, Rochester, NY 14618-2623 Ph: (585) 454-6720 |
Meghan C Little, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr Ste 211, Rochester, NY 14623 Phone: 585-486-0600 | |
Irina Kanzafarova, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-273-1745 | |
Dr. Yanjie Qi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box Surg, Rochester, NY 14642 Phone: 585-275-3022 Fax: 585-276-7851 | |
Jacob Moalem, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box Surg, Rochester, NY 14642 Phone: 585-275-1611 Fax: 585-273-1252 | |
Dustin John Fanciullo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1445 Portland Ave, Suite 108, Rochester, NY 14621 Phone: 585-922-5550 Fax: 585-922-0450 | |
Mary Lou O'neill-huber, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 121 Erie Canal Dr, Suite B, Rochester, NY 14626 Phone: 585-225-5420 Fax: 585-225-5644 | |
Dr. Ann Therese Olzinski-kunze, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr Ste 211, Rochester, NY 14623 Phone: 585-487-1700 Fax: 585-321-1724 |