Dr Stephen P Bogosian, MD | |
5719 Widewaters Pkwy, De Witt, NY 13214-1880 | |
(315) 251-3100 | |
(315) 449-9923 |
Full Name | Dr Stephen P Bogosian |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 43 Years |
Location | 5719 Widewaters Pkwy, De Witt, 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 |
---|---|---|---|
1689639940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 158129 (New York) | Secondary |
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 158129 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Syracuse Orthopedic Specialists, Pc | 6406760073 | 105 |
Entity Name | Syracuse Orthopedic Specialists, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669410379 PECOS PAC ID: 6406760073 Enrollment ID: O20031118000264 |
Entity Name | Rome Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376546440 PECOS PAC ID: 9638087273 Enrollment ID: O20040719001470 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen P Bogosian, MD 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 Ph: (315) 251-3100 | Dr Stephen P Bogosian, MD 5719 Widewaters Pkwy, De Witt, NY 13214-1880 Ph: (315) 251-3100 |
Dr. John J Cambareri, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Dr. P James Newman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Dr. Carlton P Cooke Iii, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Dr. John F Fatti, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Dr. Walter H Short, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Dr. John F Parker, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Dr. Stephen C Robinson, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-251-3100 Fax: 315-251-3205 |