Michael W Purcell, DO | |
1462 Erie Blvd Ste 3, Schenectady, NY 12305-1026 | |
(518) 901-2800 | |
(518) 240-4347 |
Full Name | Michael W Purcell |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1462 Erie Blvd Ste 3, Schenectady, 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 |
---|---|---|---|
1306139332 | NPI | - | NPPES |
OS017574 | Other | PA | PA LICENSE |
1030606220004 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 293722 (New York) | Secondary |
208000000X | Pediatrics | OS017574 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 293722 (New York) | Primary |
Entity Name | Nason Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306236609 PECOS PAC ID: 5890012728 Enrollment ID: O20150402000491 |
Mailing Address | Practice Location Address |
---|---|
Michael W Purcell, DO 1462 Erie Blvd Ste 3, Schenectady, NY 12305-1026 Ph: (518) 901-2800 | Michael W Purcell, DO 1462 Erie Blvd Ste 3, Schenectady, NY 12305-1026 Ph: (518) 901-2800 |
Hadi Koohsari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Union St, Schenectady, NY 12305 Phone: 518-374-1610 Fax: 518-374-3512 | |
Dr. Michael Paul Sonnekalb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
Stephanie B. Evans, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1044 State St, Schenectady, NY 12307 Phone: 518-370-1441 Fax: 518-395-9431 | |
Dr. James David Saperstone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 Fax: 518-355-3996 | |
Dr. Margaret M Woods, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-372-5637 Fax: 518-372-1384 | |
Dr. Richard Yan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Mcclellan St, Schenectady, NY 12304 Phone: 518-372-5637 Fax: 518-355-3996 | |
Kathleen Shanley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3732 Carman Rd, Schenectady, NY 12303 Phone: 518-356-4132 |