Mr William B Richardson, MD | |
3 Curtis Road, Trivalley Family Practice Llc, Vernon, NY 13476-0275 | |
(315) 829-2220 | |
(315) 829-2014 |
Full Name | Mr William B Richardson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3 Curtis Road, Vernon, 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 |
---|---|---|---|
1457409617 | NPI | - | NPPES |
02879436 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 041817 (Connecticut) | Secondary |
207Q00000X | Family Medicine | 243766 (New York) | Primary |
Entity Name | New York General Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
Entity Name | Nv Pacs 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210831002021 |
Mailing Address | Practice Location Address |
---|---|
Mr William B Richardson, MD Po Box 275, 3 Curtis Road Trivalley Family Practice Llc, Vernon, NY 13476-0275 Ph: (315) 829-2220 | Mr William B Richardson, MD 3 Curtis Road, Trivalley Family Practice Llc, Vernon, NY 13476-0275 Ph: (315) 829-2220 |
Matthew Siegenthaler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 | |
Mr. John A Wight, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 | |
Dr. Deborah Meester, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 | |
Erin W Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 | |
Dr. Lynne Marie Digennaro, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-2014 | |
Dr. Andrew Wight, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Curtis Rd, Vernon, NY 13476 Phone: 315-829-2220 Fax: 315-829-3955 |