Dr Stephen D Eadline, MD | |
1729 Burrstone Road, New Hartford, NY 13413-0001 | |
(315) 798-1551 | |
(315) 798-1556 |
Full Name | Dr Stephen D Eadline |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1729 Burrstone Road, New Hartford, 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 |
---|---|---|---|
1053303453 | NPI | - | NPPES |
01015135 | Medicaid | NE | |
01015136 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 170183 (New York) | Primary |
Entity Name | Slocum Dickson Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285625996 PECOS PAC ID: 5799778510 Enrollment ID: O20040407000427 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen D Eadline, MD 1729 Burrstone Road, New Hartford, NY 13413-0001 Ph: (315) 798-1551 | Dr Stephen D Eadline, MD 1729 Burrstone Road, New Hartford, NY 13413-0001 Ph: (315) 798-1551 |
Kenneth Joseph Visalli Jr., D.O, M.P.H Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1880 | |
Jawad F Shaikh, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Oxford Rd, New Hartford, NY 13413 Phone: 315-724-9874 Fax: 315-724-9877 | |
Dr. Taryn Wiley Rio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1502 Fax: 315-798-1556 | |
Dr. William D Fuchs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1700 Fax: 315-798-1707 | |
Dr. Dawn Marie Bard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 86 Genesee Street, New Hartford, NY 13413 Phone: 315-732-7909 Fax: 315-793-9307 | |
Kathy-ann Carol Irish-benjamin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 French Rd Ste 3, New Hartford, NY 13413 Phone: 315-725-2773 Fax: 315-316-0501 |