Olivia Lauren Potter, DO | |
1800 Maple Rd Ste 100, Williamsville, NY 14221-2749 | |
(716) 636-5437 | |
Not Available |
Full Name | Olivia Lauren Potter |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1800 Maple Rd Ste 100, Williamsville, 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 |
---|---|---|---|
1548526601 | NPI | - | NPPES |
014809000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | T7005 (Texas) | Secondary |
208000000X | Pediatrics | OS13209 (Florida) | Secondary |
208000000X | Pediatrics | 323941 (New York) | Primary |
Entity Name | Tampa Bay Emergency Physicians-heartland Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043661408 PECOS PAC ID: 0749577781 Enrollment ID: O20160920000442 |
Entity Name | Integratedem1 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255834362 PECOS PAC ID: 4688920150 Enrollment ID: O20180713001113 |
Mailing Address | Practice Location Address |
---|---|
Olivia Lauren Potter, DO 1800 Maple Rd Ste 100, Williamsville, NY 14221-2749 Ph: (716) 636-5437 | Olivia Lauren Potter, DO 1800 Maple Rd Ste 100, Williamsville, NY 14221-2749 Ph: (716) 636-5437 |
Dr. Judi L Wolf, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8643 Sheridan Dr, Williamsville, NY 14221 Phone: 716-565-9030 Fax: 716-565-9038 | |
Frederick C Morin Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1540 Maple Rd, Williamsville, NY 14221 Phone: 716-878-7662 | |
Dr. Michael Zang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8643 Sheridan Dr, Williamsville, NY 14221 Phone: 716-565-9030 | |
Marissa Janel Burg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Hopkins Rd, Williamsville, NY 14221 Phone: 716-632-8050 Fax: 716-632-2297 | |
Dr. Thomas F Cozza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Hopkins Rd, Williamsville, NY 14221 Phone: 716-632-8050 Fax: 716-632-2297 | |
Dr. G Lawrence Mcnally, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8643 Sheridan Dr, Williamsville, NY 14221 Phone: 716-565-9030 Fax: 716-565-9038 | |
Eric J Thierman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1835 Maple Rd, Williamsville, NY 14221 Phone: 716-634-5410 |