Mr Mark D Chazen, MD | |
3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 | |
(716) 844-5000 | |
(716) 844-5050 |
Full Name | Mr Mark D Chazen |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 27 Years |
Location | 3085 Harlem Road, Cheektowaga, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518931989 | NPI | - | NPPES |
005247231 | Other | NY | BLUE CROSS |
01739899 | Medicaid | NY | |
160985156 | Other | UHC-EMPIRE | |
1908966 | Other | NM | INDEPENDENT HEALTH INS |
340013524 | Other | NY | RAILROAD MEDICARE |
00010297801 | Other | NY | UNIVERA INSURANCE |
1099639 | Other | NY | GHI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 191098 (New York) | Secondary |
208800000X | Urology | 191098-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaleida Health | Buffalo, NY | Hospital |
Bertrand Chaffee Hospital | Springville, NY | Hospital |
Sisters Of Charity Hospital | Buffalo, NY | Hospital |
Erie County Medical Center | Buffalo, NY | Hospital |
Olean General Hospital | Olean, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Physician Pc | 9133434269 | 61 |
Entity Name | Erie County Medical Center Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538 |
Entity Name | Great Lakes Physician Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659310092 PECOS PAC ID: 9133434269 Enrollment ID: O20150818004788 |
Entity Name | Harlem Road Ambulatory Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1588328918 PECOS PAC ID: 7810388238 Enrollment ID: O20211220000734 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark D Chazen, MD 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 Ph: (716) 844-5000 | Mr Mark D Chazen, MD 3085 Harlem Road, Suite 200, Cheektowaga, NY 14225-2591 Ph: (716) 844-5000 |
Gina Nicole Tundo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Karl-dietrich Max Gustav Sievert, Urology Medicare: Not Enrolled in Medicare Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Dr. John Joseph Bodkin Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Brian F Dinerman, MD Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Kevin J Barlog, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Dr. K Kent Chevli, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Max John Roehmholdt, MD Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 |