Walter Woodhull Merriam, MD | |
5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | |
(315) 422-4412 | |
(315) 422-4432 |
Full Name | Walter Woodhull Merriam |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 5792 Widewaters Pkwy Ste 101, Syracuse, 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 |
---|---|---|---|
1912014200 | NPI | - | NPPES |
00550032 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 114080 (New York) | Primary |
Entity Name | Ophthalmology Medical Service Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225072051 PECOS PAC ID: 0446248033 Enrollment ID: O20040503001408 |
Mailing Address | Practice Location Address |
---|---|
Walter Woodhull Merriam, MD 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 Ph: (315) 422-4412 | Walter Woodhull Merriam, MD 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 Ph: (315) 422-4412 |
Dr. George Salloum, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5230 | |
Stephen W Merriam, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5792 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-422-4412 Fax: 315-422-4432 | |
Charles Teitelbaum, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214 Phone: 315-422-4412 | |
Dr. Michael J Geiss Iii, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2215 E Genesee St, Syracuse, NY 13210 Phone: 315-472-5329 Fax: 315-472-3211 | |
Preethi Ganapathy, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 550 Harrison St Ste L, Syracuse, NY 13202 Phone: 315-464-5253 | |
Dr. Adam Miller, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214 Phone: 315-422-4412 | |
Evis Petrela, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Suite 3p, Syracuse, NY 13215 Phone: 315-492-5910 Fax: 315-492-5950 |