Thivisa Rajagopal, MD | |
80 E Main St, Canton, NY 13617-1450 | |
(724) 223-3100 | |
Not Available |
Full Name | Thivisa Rajagopal |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 9 Years |
Location | 80 E Main St, Canton, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659723005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MT211844 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 300516 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Canton-potsdam Hospital | Potsdam, NY | Hospital |
Gouverneur Hospital | Gouverneur, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Canton-potsdam Hospital | 6204827280 | 197 |
Entity Name | Canton-potsdam Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
Mailing Address | Practice Location Address |
---|---|
Thivisa Rajagopal, MD 50 Leroy St, Potsdam, NY 13676-1799 Ph: (315) 265-3300 | Thivisa Rajagopal, MD 80 E Main St, Canton, NY 13617-1450 Ph: (724) 223-3100 |
Katharine M Matthis, RPA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 Fax: 315-713-6512 | |
Thushyanthan Pathmalingam, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 E Main St, Canton, NY 13617 Phone: 315-261-5870 | |
John Sparrow Duffy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 39 West Main Street, Canton, NY 13617 Phone: 315-379-4700 Fax: 315-713-6512 | |
Ms. Florence C Bero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 E Main St, Suite 104, Canton, NY 13617 Phone: 315-386-8184 Fax: 315-386-2804 | |
Mr. John Edward Dewar, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 E Main St, Ste 104, Canton, NY 13617 Phone: 315-386-8184 | |
Dr. Brian Richard Kerrigan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 E Main St, Canton, NY 13617 Phone: 315-261-5870 |