Marc Immerman, MD | |
1003 Walnut St, Elmira, NY 14901-1007 | |
(607) 732-5646 | |
(607) 732-0373 |
Full Name | Marc Immerman |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1003 Walnut St, Elmira, 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 |
---|---|---|---|
1417967712 | NPI | - | NPPES |
000915192004 | Other | NY | BCBS |
01144467 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 174214 (New York) | Secondary |
208D00000X | General Practice | 174214 (New York) | Primary |
Entity Name | Nes Medical Services Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215455191 PECOS PAC ID: 0840181392 Enrollment ID: O20040323001392 |
Entity Name | Chemung-schuyler Counties Chapter, Nysarc, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174146401 PECOS PAC ID: 3577980622 Enrollment ID: O20200903000937 |
Mailing Address | Practice Location Address |
---|---|
Marc Immerman, MD 1003 Walnut St, Elmira, NY 14901-1007 Ph: (607) 732-5646 | Marc Immerman, MD 1003 Walnut St, Elmira, NY 14901-1007 Ph: (607) 732-5646 |
Robert Novak, General Practice Medicare: Medicare Enrolled Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-4100 | |
Devin Craig Thompson, MD General Practice Medicare: Medicare Enrolled Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 646-260-7977 | |
Rodrick Ducroix Coaxum, MD General Practice Medicare: Medicare Enrolled Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-4100 |