Timothy A Mathis, MD | |
1656 Champlin Ave, New Hartford, NY 13413-1068 | |
(315) 624-6068 | |
(315) 624-6308 |
Full Name | Timothy A Mathis |
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Gender | Male |
Speciality | Family Medicine |
Location | 1656 Champlin Ave, New Hartford, 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 |
---|---|---|---|
1790788867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 173917 (New York) | Primary |
207Q00000X | Family Medicine | 173917 (New York) | Primary |
Entity Name | Emergency Physician Services Of New York, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20041001000684 |
Entity Name | Delphi Healthcare Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003075029 PECOS PAC ID: 9537229661 Enrollment ID: O20081119000839 |
Mailing Address | Practice Location Address |
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Timothy A Mathis, MD 8636 Standish Rd, Rome, NY 13440-1441 Ph: (315) 339-3302 | Timothy A Mathis, MD 1656 Champlin Ave, New Hartford, NY 13413-1068 Ph: (315) 624-6068 |
David Petrie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3946 Oneida St., New Hartford, NY 13413 Phone: 315-624-8300 Fax: 315-624-5152 | |
Arul Kannan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 Genesee St, New Hartford, NY 13413 Phone: 315-724-7366 Fax: 315-724-0293 | |
Jane Samson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Genesee St, New Hartford, NY 13413 Phone: 315-797-2314 Fax: 315-797-0850 | |
Dr. Joseph I Raj, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1700 Fax: 315-798-1707 | |
Dr. Shelly L Hearn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413 Phone: 315-798-1702 Fax: 315-798-1707 | |
Dr. John S Robertson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3946 Oneida St, New Hartford, NY 13413 Phone: 315-624-8300 Fax: 315-624-8310 | |
William Hall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3946 Oneida St., New Hartford, NY 13413 Phone: 315-624-8300 Fax: 315-624-5152 |