Kathleen H Fanos, DO | |
15 S Main St, Suite 150, Jamestown, NY 14701-6626 | |
(716) 484-3776 | |
(716) 484-3777 |
Full Name | Kathleen H Fanos |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 15 S Main St, Jamestown, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427068782 | NPI | - | NPPES |
J400168920 | Other | NY | MEDICARE PTAN |
2275670 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18127 (Mississippi) | Secondary |
207R00000X | Internal Medicine | 200860 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph London | London, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cogent Healthcare Of Kentucky, Psc | 0648294157 | 66 |
Entity Name | Cogent Healthcare Of Kentucky, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053362293 PECOS PAC ID: 0648294157 Enrollment ID: O20060124000434 |
Entity Name | Hospitalist Medicine Physicians Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720416555 PECOS PAC ID: 7719119965 Enrollment ID: O20210719003483 |
Mailing Address | Practice Location Address |
---|---|
Kathleen H Fanos, DO 15 S Main St, Suite 300, Jamestown, NY 14701-6626 Ph: (716) 488-1877 | Kathleen H Fanos, DO 15 S Main St, Suite 150, Jamestown, NY 14701-6626 Ph: (716) 484-3776 |
Mario Gentile, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 31 Sherman St, Suite 1400, Jamestown, NY 14701 Phone: 716-665-4656 Fax: 716-665-4664 | |
Umamaheswara Rao Vejendla Physician Pc, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 152 Foote Ave, Jamestown, NY 14701 Phone: 716-664-5290 Fax: 716-664-7630 | |
Dr. Mumtaz Karimi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 E Second Street, Jamestown, NY 14701 Phone: 716-661-1447 | |
Dr. Sawaran Singh Bambrah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 Prather Ave, Jamestown, NY 14701 Phone: 716-488-0776 Fax: 716-664-9092 | |
Shaden Alfallay, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 S Main St, Suite 150 Internal Medicine, Jamestown, NY 14701 Phone: 716-484-8610 | |
Dr. George L So, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 S Main St, Suite 110 - Cardiology, Jamestown, NY 14701 Phone: 716-483-2320 Fax: 716-484-2582 | |
Frank Arnal, Internal Medicine Medicare: Medicare Enrolled Practice Location: 15 S Main St, Suite 240, Jamestown, NY 14701 Phone: 716-483-0803 |