John Wacendak, MD | |
40 Arch St, Johnson City, NY 13790-2102 | |
(607) 763-6075 | |
Not Available |
Full Name | John Wacendak |
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Gender | Male |
Speciality | Family Medicine |
Location | 40 Arch St, Johnson City, 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 |
---|---|---|---|
1932196284 | NPI | - | NPPES |
01565544 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 194762 (New York) | Primary |
Entity Name | United Health Services Hospitals, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
Mailing Address | Practice Location Address |
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John Wacendak, MD 346 Grand Ave, Johnson City, NY 13790-2558 Ph: (607) 770-0025 | John Wacendak, MD 40 Arch St, Johnson City, NY 13790-2102 Ph: (607) 763-6075 |
Roshni Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 Main St, Johnson City, NY 13790 Phone: 607-763-6075 | |
Daniel M Young, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Arch St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 | |
Dr. Jacqueline E J Bhandari, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Arch St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 | |
Katherine Holmes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Arch St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 | |
Christopher W Ryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Arch St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 | |
Marita Powell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Arch St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 | |
Dr. Josephine Sun Genese, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 Main St, Johnson City, NY 13790 Phone: 607-763-6075 Fax: 607-763-5234 |