Melissa D Willenborg, MD | |
300 Hoffman St, Elmira, NY 14905-2263 | |
(319) 356-2383 | |
(319) 356-6754 |
Full Name | Melissa D Willenborg |
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Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 300 Hoffman 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 |
---|---|---|---|
1598987083 | NPI | - | NPPES |
05029332 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 40542 (Iowa) | Secondary |
207X00000X | Orthopaedic Surgery | 292281 (New York) | Primary |
Entity Name | Orthopaedic Associates Of Allentown |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801888987 PECOS PAC ID: 7214841170 Enrollment ID: O20031114000399 |
Mailing Address | Practice Location Address |
---|---|
Melissa D Willenborg, MD 571 Saint Josephs Blvd, Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Melissa D Willenborg, MD 300 Hoffman St, Elmira, NY 14905-2263 Ph: (319) 356-2383 |
David Richard Graham, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 690 W Clinton St, Elmira, NY 14905 Phone: 607-733-6233 | |
Dr. Matthew R Brand, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Hoffman St, Elmira, NY 14905 Phone: 607-734-4110 Fax: 607-734-0344 | |
Dr. Kevin M Coughlin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Hoffman St, Elmira, NY 14905 Phone: 607-734-4110 Fax: 607-734-0344 | |
Mark D Gibson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Hoffman St, Elmira, NY 14905 Phone: 607-734-4110 Fax: 607-734-0344 | |
Dr. Thomas Boman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Hoffman St, Elmira, NY 14905 Phone: 607-734-4110 Fax: 607-734-0344 | |
Dr. William C Bishop, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Hoffman St, Elmira, NY 14905 Phone: 607-734-4110 Fax: 607-734-0344 |