Ellen Marie Schurman, MD | |
3448 State Route 31, Baldwinsville, NY 13027-9231 | |
(315) 622-6595 | |
(315) 622-3298 |
Full Name | Ellen Marie Schurman |
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Gender | Female |
Speciality | Pediatrics |
Location | 3448 State Route 31, Baldwinsville, 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 |
---|---|---|---|
1053378489 | NPI | - | NPPES |
02187768 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 222730 (New York) | Primary |
Entity Name | Pediatric Service Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
Mailing Address | Practice Location Address |
---|---|
Ellen Marie Schurman, MD 3448 State Route 31, Baldwinsville, NY 13027-9231 Ph: (315) 622-6595 | Ellen Marie Schurman, MD 3448 State Route 31, Baldwinsville, NY 13027-9231 Ph: (315) 622-6595 |
Tobey Ann Kresel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3448 State Route 31, Baldwinsville, NY 13027 Phone: 315-622-6595 Fax: 315-622-3298 | |
Yekaterina A. Okhman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3448 Route 31, Baldwinsville, NY 13027 Phone: 315-622-6595 Fax: 315-622-3298 | |
Jaclyn Sisskind, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3448 Route 31, Baldwinsville, NY 13027 Phone: 315-622-6395 Fax: 315-622-3298 |