| Integrative Pain & Wellness Associates, Llc | |
|
1360 North Forest Road Suite 115 Williamsville NY 14221-1200 | |
| (716) 650-3000 | |
| (716) 650-3090 |
| Full Name | Integrative Pain & Wellness Associates, Llc |
|---|---|
| Speciality | Pain Medicine |
| Location | 1360 North Forest Road, Williamsville, New York |
| Authorized Official Name and Position | Romanth Waghmarae (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7166503000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Pain & Wellness Associates, Llc 1360 North Forest Road Suite 115 Williamsville NY 14221-1200 Ph: (716) 650-3000 | Integrative Pain & Wellness Associates, Llc 1360 North Forest Road Suite 115 Williamsville NY 14221-1200 Ph: (716) 650-3000 |
| NPI Number | 1689123929 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 10/30/2019 |
| Medicare PECOS PAC ID | 3971889510 |
|---|---|
| Medicare Enrollment ID | O20170413000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689123929 | NPI | - | NPPES |
| Provider Name | Clifford M Ameduri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114005360 PECOS PAC ID: 0648178376 Enrollment ID: I20031219000440 |
| Provider Name | Antonino Carlino |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770602377 PECOS PAC ID: 8820088263 Enrollment ID: I20040517000714 |
| Provider Name | Bonnie Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366481657 PECOS PAC ID: 7113990367 Enrollment ID: I20040816001067 |
| Provider Name | Christine Z Moley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518092923 PECOS PAC ID: 4082762059 Enrollment ID: I20090430000284 |
| Provider Name | Romanth Waghmarae |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1174530299 PECOS PAC ID: 8325058977 Enrollment ID: I20101118000864 |
| Provider Name | Michael A Giglio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770780850 PECOS PAC ID: 0345419735 Enrollment ID: I20110801000259 |
| Provider Name | James M Hitt |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588812762 PECOS PAC ID: 6002081007 Enrollment ID: I20111202000085 |
| Provider Name | Millicent M Thomas-hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467760488 PECOS PAC ID: 8921089806 Enrollment ID: I20150731015158 |
| Provider Name | Marissa A Maclin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619296902 PECOS PAC ID: 5294013876 Enrollment ID: I20161102001371 |
| Provider Name | Matthew A Bauman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720475700 PECOS PAC ID: 7214294313 Enrollment ID: I20171128001617 |
| Provider Name | Missy Dishman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598223984 PECOS PAC ID: 7719227032 Enrollment ID: I20190325001760 |
| Provider Name | Florianna Pattacciato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457958399 PECOS PAC ID: 8820401904 Enrollment ID: I20210109000063 |
| Provider Name | Kyle D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326651928 PECOS PAC ID: 3971918004 Enrollment ID: I20210303000091 |
| Provider Name | Amanda Sawicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689240145 PECOS PAC ID: 9830593003 Enrollment ID: I20210810002346 |
| Provider Name | William Marshall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174929251 PECOS PAC ID: 3173911542 Enrollment ID: I20211104001164 |
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