Gennaro Marc Polverino, MD | |
1208 Driving Park Ave, Newark, NY 14513-1057 | |
(315) 359-2640 | |
(315) 359-2645 |
Full Name | Gennaro Marc Polverino |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 1208 Driving Park Ave, Newark, 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 |
---|---|---|---|
1427145184 | NPI | - | NPPES |
03941513 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 272834 (New York) | Secondary |
207Q00000X | Family Medicine | 272834 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rochester General Hospital | Rochester, NY | Hospital |
Newark-wayne Community Hospital | Newark, NY | Hospital |
Clifton Springs Hospital And Clinic | Clifton springs, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rochester General Hospital | 0244149474 | 892 |
Entity Name | Rochester General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | The Unity Hospital Of Rochester |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
Entity Name | Western New York Medical Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
Mailing Address | Practice Location Address |
---|---|
Gennaro Marc Polverino, MD 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: (585) 368-3531 | Gennaro Marc Polverino, MD 1208 Driving Park Ave, Newark, NY 14513-1057 Ph: (315) 359-2640 |
Mrs. Joyce Helen Lester, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1202 Driving Park Avenue, Newark, NY 14513 Phone: 315-331-2030 Fax: 315-331-4529 | |
Mrs. Amber Marie Birkland, PAC Family Medicine Medicare: Medicare Enrolled Practice Location: 1202 Driving Park Avenue, Newark, NY 14513 Phone: 315-331-2030 Fax: 315-331-4529 | |
Thomas B Verme, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Van Buren St, Newark, NY 14513 Phone: 315-331-7741 Fax: 315-331-0566 |