Stephen Douglas Carlson, MD | |
515 Main St, Olean, NY 14760-1513 | |
(716) 372-0223 | |
(716) 373-7191 |
Full Name | Stephen Douglas Carlson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 515 Main St, Olean, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023009883 | NPI | - | NPPES |
01821109 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 186882-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Olean General Hospital | Olean, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Anesthesiology Pc | 7113997529 | 68 |
Entity Name | Great Lakes Anesthesiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306852181 PECOS PAC ID: 7113997529 Enrollment ID: O20040730000966 |
Mailing Address | Practice Location Address |
---|---|
Stephen Douglas Carlson, MD 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: (814) 274-9300 | Stephen Douglas Carlson, MD 515 Main St, Olean, NY 14760-1513 Ph: (716) 372-0223 |
Gabriel E Yacob, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-701-1530 Fax: 716-701-1535 | |
Sheri Templar, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 202 N Barry St, Olean, NY 14760 Phone: 716-372-0223 Fax: 716-373-7191 | |
Douglas B Borromeo, M.D, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-372-0223 Fax: 716-373-7191 | |
Orlando Escuadra Cruz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-372-0223 Fax: 716-373-7191 | |
Hector Martinez, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-372-0223 Fax: 716-373-7191 | |
Wade Rea Porterfield, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-372-0223 Fax: 716-373-7191 |