Dr William Porter Welbourne, MD | |
200 North St, Suite 102, Geneva, NY 14456-1561 | |
(315) 787-5400 | |
(315) 787-5475 |
Full Name | Dr William Porter Welbourne |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 200 North St, Geneva, 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 |
---|---|---|---|
1053309633 | NPI | - | NPPES |
00447049 | Medicaid | NY | |
P010119889 | Other | NY | EXCELLUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 119889 (New York) | Primary |
Entity Name | Flh Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215174644 PECOS PAC ID: 6507922358 Enrollment ID: O20090304000165 |
Mailing Address | Practice Location Address |
---|---|
Dr William Porter Welbourne, MD 200 North St, Suite 102, Geneva, NY 14456 Ph: (315) 787-5400 | Dr William Porter Welbourne, MD 200 North St, Suite 102, Geneva, NY 14456-1561 Ph: (315) 787-5400 |
Amanda Laine Bennett, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 North St Ste 101, Geneva, NY 14456 Phone: 315-787-5175 | |
Angel A. Diaz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 821 Pre Emption Rd Ste 300, Geneva, NY 14456 Phone: 315-787-5310 Fax: 315-787-5314 | |
Rachael Beth Johengen, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 196 North St, Geneva, NY 14456 Phone: 315-787-4000 | |
Dr. Margaret Mary Ameyaw, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 196 North Street, Geneva, NY 14456 Phone: 315-787-4303 | |
Dr. Raquel Reyes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601b W Washington St, Geneva, NY 14456 Phone: 315-781-8448 Fax: 315-781-8444 | |
Dr. David Cywinski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Pre Emption Rd, Geneva, NY 14456 Phone: 315-798-5061 |