Ms Joan G Calkins, MD | |
17 Long Ave, Ste 110, Hamburg, NY 14075 | |
(716) 646-5188 | |
(716) 646-5190 |
Full Name | Ms Joan G Calkins |
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Gender | Female |
Speciality | Pediatrics |
Location | 17 Long Ave, Hamburg, 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 |
---|---|---|---|
1518928456 | NPI | - | NPPES |
01515782 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1968231 (New York) | Primary |
2080P0216X | Pediatrics - Pediatric Rheumatology | 1968231 (New York) | Secondary |
Entity Name | Village Pediatrics & Rheumotology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366520363 PECOS PAC ID: 6800935198 Enrollment ID: O20091130000014 |
Mailing Address | Practice Location Address |
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Ms Joan G Calkins, MD 17 Long Ave, Ste 110, Hamburg, NY 14075-6200 Ph: (716) 646-5188 | Ms Joan G Calkins, MD 17 Long Ave, Ste 110, Hamburg, NY 14075 Ph: (716) 646-5188 |
Chelsea George, FNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17 Long Ave Ste 110, Hamburg, NY 14075 Phone: 716-646-5188 | |
Smita Agarwal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: S-4947 Lakeshore Road, Hamburg, NY 14075 Phone: 716-627-4407 Fax: 716-627-1174 | |
Mrs. Sarah Al Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4855 Camp Rd., Suite 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 | |
John Krzan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4390 Quinby Dr, Suite E, Hamburg, NY 14075 Phone: 716-312-7400 Fax: 716-312-7402 | |
Michael Joseph Edbauer, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3040 Amsdell Rd, Hamburg, NY 14075 Phone: 716-646-1084 |