John Richard Restivo, MD | |
1500 N James St, Rome, NY 13440-2844 | |
(315) 338-7029 | |
Not Available |
Full Name | John Richard Restivo |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 1500 N James St, Rome, 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 |
---|---|---|---|
1710935713 | NPI | - | NPPES |
040426013913 | Other | NY | FIDELIS |
207464-9 | Other | NY | WC |
P010207464 | Other | NY | BCBS |
01754118 | Medicaid | NY | |
4196774 | Other | NY | GHI |
10045243 | Other | NY | CDPHP |
300080976 | Other | NY | RAIL ROAD MEDICARE |
958476 | Other | NY | MVP |
01647929 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 207464 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rome Memorial Hospital, Inc | Rome, NY | Hospital |
Faxton-st Luke's Healthcare | Utica, NY | Hospital |
University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cmi Professional Services | 2466419718 | 17 |
Mvhs Inc | 2769380252 | 296 |
Radiology Associates Of New Hartford Llp | 6002807831 | 20 |
Entity Name | Mvhs Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
Entity Name | Slocum Dickson Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285625996 PECOS PAC ID: 5799778510 Enrollment ID: O20040407000427 |
Entity Name | Radiology Associates Of New Hartford Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356387294 PECOS PAC ID: 6002807831 Enrollment ID: O20040520001050 |
Entity Name | Cmi Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790701167 PECOS PAC ID: 2466419718 Enrollment ID: O20041217000585 |
Mailing Address | Practice Location Address |
---|---|
John Richard Restivo, MD 185 Genesee St, Suite 600, Utica, NY 13501-2199 Ph: (315) 793-8806 | John Richard Restivo, MD 1500 N James St, Rome, NY 13440-2844 Ph: (315) 338-7029 |
Dr. Lawrence Burgreen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 91 Perimeter Rd, Rome, NY 13441 Phone: 315-334-9729 | |
Dr. Linda Lauree' Schicker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 107 E Chestnut St, Suite 103, Rome, NY 13440 Phone: 315-338-0897 Fax: 315-336-6375 | |
Denise Marie Brannick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 N James St, Rome, NY 13440 Phone: 315-338-7029 | |
Dr. Michael W Fries, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 91 Perimeter Rd, Suite 110, Rome, NY 13441 Phone: 315-339-7965 |