Dr Tatyana Antonevich, MD | |
1729 Burrstone Rd, New Hartford, NY 13413-1001 | |
(315) 798-1658 | |
(315) 798-1650 |
Full Name | Dr Tatyana Antonevich |
---|---|
Gender | Female |
Speciality | Pulmonary Disease |
Experience | 28 Years |
Location | 1729 Burrstone Rd, New Hartford, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528054368 | NPI | - | NPPES |
274104100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | ME90499 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Faxton-st Luke's Healthcare | Utica, NY | Hospital |
Oneida Healthcare Center | Oneida, NY | Hospital |
Rome Memorial Hospital, Inc | Rome, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Slocum Dickson Medical Group Pllc | 5799778510 | 106 |
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 Tatyana Antonevich, MD 1729 Burrstone Rd, New Hartford, NY 13413-1001 Ph: (315) 798-1658 | Dr Tatyana Antonevich, MD 1729 Burrstone Rd, New Hartford, NY 13413-1001 Ph: (315) 798-1658 |
Dr. Dayal Davis Raja, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1729 Burrstone Rd, Slocum-dickson Medical Group, New Hartford, NY 13413 Phone: 315-798-1700 | |
Dr. Gail Johnson, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1700 Fax: 315-798-1707 | |
Dr. Celesta M Hunsiker, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1700 Fax: 315-798-1707 | |
Dr. Mark E. Blaker, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1700 Fax: 315-798-1707 | |
Naji Sa El Khoury, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 77 Genesee St, New Hartford, NY 13413 Phone: 315-732-6100 Fax: 315-732-5542 | |
Dr. Ute Dreiner, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1700 Fax: 315-798-1707 | |
Kevin Mccormick, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3946 Oneida St, New Hartford, NY 13413 Phone: 315-624-8300 Fax: 315-624-8328 |