Gail R Goodman, MD | |
3675 Southwestern Blvd, Orchard Park, NY 14127-1732 | |
(716) 972-0279 | |
(716) 972-0273 |
Full Name | Gail R Goodman |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3675 Southwestern Blvd, Orchard Park, 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 |
---|---|---|---|
1568442465 | NPI | - | NPPES |
00010065904 | Other | NY | UNIVERA |
01477605 | Medicaid | NY | |
040426002662 | Other | NY | FIDELIS |
1211151 | Other | NY | IHA |
147716DL | Other | NY | PREFERRED CARE |
479993 | Other | NY | WELLCARE |
000524370006 | Other | NY | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 194330 (New York) | Primary |
Entity Name | Southwestern Medical Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942267455 PECOS PAC ID: 9436191897 Enrollment ID: O20050525000843 |
Mailing Address | Practice Location Address |
---|---|
Gail R Goodman, MD 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 Ph: (716) 972-0279 | Gail R Goodman, MD 3675 Southwestern Blvd, Orchard Park, NY 14127-1732 Ph: (716) 972-0279 |
Dr. Gerald A Lauria, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5800 Big Tree Rd, Orchard Park, NY 14127 Phone: 716-662-7337 Fax: 716-662-0641 | |
Dr. Colleen A Mattimore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5800 Big Tree Rd, Orchard Park, NY 14127 Phone: 716-662-7337 Fax: 716-662-0641 | |
Dr. Amanda Marie Wolfley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5800 Big Tree Rd, Orchard Park, NY 14127 Phone: 716-662-7337 Fax: 716-662-0641 | |
Nicole Niedzwiedz, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3725 N Buffalo St, Suite A, Orchard Park, NY 14127 Phone: 716-662-2300 Fax: 716-662-2057 | |
Dr. Steven Daniel Weiss, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 24 Carrow St, Orchard Park, NY 14127 Phone: 716-662-3443 Fax: 716-972-0374 | |
Anthony Michael Caterina, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3725 N Buffalo St, Suite A, Orchard Park, NY 14127 Phone: 716-662-2300 Fax: 716-662-2057 | |
Donald F Storm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3085 Southwestern Blvd, Ste 104, Orchard Park, NY 14127 Phone: 716-674-1292 Fax: 716-677-4314 |