Mark Anthony Kenyon, MD | |
818 Ellicott St, Buffalo, NY 14203-1021 | |
(716) 323-0220 | |
(716) 323-0293 |
Full Name | Mark Anthony Kenyon |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 818 Ellicott St, Buffalo, 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 |
---|---|---|---|
1881652238 | NPI | - | NPPES |
1292497 | Other | IHA | |
040426003098 | Other | FIDELIS | |
100831371001 | Medicaid | PA | |
00026380601 | Other | UNIVERA | |
000527294001 | Other | BC/BS | |
02409052 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 228634 (New York) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 228634 (New York) | Primary |
Entity Name | University At Buffalo Pediatric Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912928599 PECOS PAC ID: 1355235540 Enrollment ID: O20040210000076 |
Mailing Address | Practice Location Address |
---|---|
Mark Anthony Kenyon, MD 1001 Main St Fl 5, Buffalo, NY 14203-1009 Ph: (716) 323-0220 | Mark Anthony Kenyon, MD 818 Ellicott St, Buffalo, NY 14203-1021 Ph: (716) 323-0220 |
Dr. Lauren Davidson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 219 Bryant St, Buffalo, NY 14222 Phone: 716-878-7355 | |
Jack Daniel Halligan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-0220 | |
Dr. Mary Ellen Emborsky, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Main St Fl 5, Buffalo, NY 14203 Phone: 716-323-0220 Fax: 716-323-0293 | |
Dr. Meghan E Jacobs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-2000 Fax: 716-323-0293 | |
Dr. Mona Bonanno, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Main St Fl 4, Buffalo, NY 14203 Phone: 716-323-0260 Fax: 716-323-0294 | |
Dr. Roger A Forden, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 341 Englewood Ave, Buffalo, NY 14223 Phone: 716-833-2333 Fax: 716-833-3972 | |
Dr. Jessica Aliotta Donhauser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 818 Ellicott St, Buffalo, NY 14203 Phone: 716-323-2000 Fax: 716-323-0599 |