Scott C Van Gorder, DO | |
10 George St, Oswego, NY 13126-3276 | |
(315) 342-0888 | |
(315) 343-4663 |
Full Name | Scott C Van Gorder |
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Gender | Male |
Speciality | Family Medicine |
Location | 10 George St, Oswego, 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 |
---|---|---|---|
1790892644 | NPI | - | NPPES |
02081198 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 213595 (New York) | Primary |
Entity Name | Northern Oswego County Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
Mailing Address | Practice Location Address |
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Scott C Van Gorder, DO 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 | Scott C Van Gorder, DO 10 George St, Oswego, NY 13126-3276 Ph: (315) 342-0888 |
Dr. Linda D Mandanas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 W 5th St, Oswego, NY 13126 Phone: 315-342-1765 Fax: 315-342-1742 | |
Carlos Oblena Dator Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 | |
Dr. Corliss Adam Varnum, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33 E Schuyler St, Oswego, NY 13126 Phone: 315-343-6974 Fax: 315-342-3625 | |
Ravneet Kaur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 110 W Utica St, Oswego, NY 13126 Phone: 315-342-2024 Fax: 315-342-3208 | |
Dr. Adaora S Udekwu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5733 | |
Ms. Alison E Fluman, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5511 | |
Dr. Micheal D Stephens, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W Utica St, Oswego, NY 13126 Phone: 315-342-2024 Fax: 315-343-5317 |