Grace Elizabeth Black, MD | |
601 Elmwood Ave, Rochester, NY 14642-0001 | |
(585) 275-2821 | |
(585) 461-1231 |
Full Name | Grace Elizabeth Black |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 601 Elmwood Ave, Rochester, 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 |
---|---|---|---|
1922395466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R72558 (Arizona) | Secondary |
208000000X | Pediatrics | 285643 (New York) | Primary |
Entity Name | Pediatric Group Univ Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821029463 PECOS PAC ID: 5496747362 Enrollment ID: O20040331001273 |
Mailing Address | Practice Location Address |
---|---|
Grace Elizabeth Black, MD 601 Elmwood Ave Box 635, Rochester, NY 14642-0001 Ph: (585) 275-2821 | Grace Elizabeth Black, MD 601 Elmwood Ave, Rochester, NY 14642-0001 Ph: (585) 275-2821 |
Dr. Rita Dadiz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 635, Rochester, NY 14642 Phone: 585-275-7787 | |
Dr. Michael G. Martin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 White Spruce Blvd, Rochester, NY 14623 Phone: 585-272-9460 | |
Tracy L Maier, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 353 Island Cottage Rd, Rochester, NY 14612 Phone: 585-225-2610 Fax: 585-581-1396 | |
Dr. Jessica Morrison, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-2575 | |
Aleena Zainab Jafri, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-756-4800 | |
Matthew M Carlin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 S Clinton Avenue, Bldg 300 Ste 310, Rochester, NY 14618 Phone: 585-473-3535 Fax: 585-473-1837 | |
Dr. Roger P Vermilion, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 631, Rochester, NY 14642 Phone: 585-275-6108 Fax: 585-442-0104 |