James A Dellavalle, MD | |
33-57 Harrison St, Johnson City, NY 13790-2107 | |
(607) 763-6412 | |
(607) 763-5854 |
Full Name | James A Dellavalle |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 47 Years |
Location | 33-57 Harrison St, Johnson City, 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 |
---|---|---|---|
1861489031 | NPI | - | NPPES |
00750789 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 158928 (New York) | Secondary |
207P00000X | Emergency Medicine | 158928 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lourdes Hospital | Binghamton, NY | Hospital |
Barnes-kasson County Hospital | Susquehanna, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 223 |
Barnes-kasson County Hospital | 1355318635 | 9 |
Entity Name | United Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
Entity Name | Emergency Medicine Physicians Of Cortland County Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609816024 PECOS PAC ID: 6002802725 Enrollment ID: O20040420001468 |
Mailing Address | Practice Location Address |
---|---|
James A Dellavalle, MD 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 763-6412 | James A Dellavalle, MD 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6412 |
John Peter Zevan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6611 Fax: 607-763-6411 | |
Dr. Shae Lynn Bolander, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 | |
Theodore M Petkov, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 | |
Abdullah Faiq, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Teresa A Sacco-bedosky, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5854 | |
Mustafa Ali Khan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 | |
Michael Shannon Hennessey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 |