Peter R Schotanus, MD | |
33-57 Harrison St, Johnson City, NY 13790-2107 | |
(607) 763-6151 | |
(607) 763-5252 |
Full Name | Peter R Schotanus |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 33-57 Harrison St, Johnson City, 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 |
---|---|---|---|
1538154810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 133715 (New York) | Primary |
Entity Name | United Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
Mailing Address | Practice Location Address |
---|---|
Peter R Schotanus, MD 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 729-8156 | Peter R Schotanus, MD 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6151 |
Dr. Gang Yue, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6151 Fax: 607-763-5952 | |
Richard M Rigotti, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6285 | |
Jagmohan S Sidhu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6151 Fax: 607-763-5252 | |
Dr. Aditi C Ranade, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6285 Fax: 607-763-5410 | |
Bozena Rozum Slota, MD Pathology Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6151 Fax: 607-763-5252 | |
Ketan A. Patel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6151 Fax: 607-763-5952 |