Dr T Eric Schackow, MD, PHD | |
120 Hobart St, Utica, NY 13501-4308 | |
(315) 798-1149 | |
(315) 801-3565 |
Full Name | Dr T Eric Schackow |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 120 Hobart St, Utica, 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 |
---|---|---|---|
1467435115 | NPI | - | NPPES |
01805614 | Medicaid | NY | |
036099827 | Medicaid | IL | |
1031143200001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036099827 (Illinois) | Secondary |
207Q00000X | Family Medicine | MD456820 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 209615 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Faxton-st Luke's Healthcare | Utica, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mvhs Inc | 2769380252 | 296 |
Entity Name | Mvhs Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
Mailing Address | Practice Location Address |
---|---|
Dr T Eric Schackow, MD, PHD 120 Hobart St, Utica, NY 13501-4308 Ph: (315) 798-1149 | Dr T Eric Schackow, MD, PHD 120 Hobart St, Utica, NY 13501-4308 Ph: (315) 798-1149 |
Virendra Sharma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 | |
Dr. Robert Karl Chruscicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 288 Genesee Street, Utica, NY 13502 Phone: 315-724-7744 | |
Julie Betro Shkane, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 | |
Emily Hsu Joslin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-797-1149 Fax: 315-734-3565 | |
Molly Schug, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1256 Culver Ave, Utica, NY 13501 Phone: 315-798-7186 Fax: 315-738-0188 | |
Mahesh Padmanabhan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 | |
Sun Yoo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 |