| Pediatrics & Adolescent Medicine Group | |
|
601 Elmwood Ave Box 635 Rochester NY 14642-0001 | |
| (585) 275-7787 | |
| (585) 275-2352 |
| Full Name | Pediatrics & Adolescent Medicine Group |
|---|---|
| Speciality | Pediatrics |
| Location | 601 Elmwood Ave, Rochester, New York |
| Authorized Official Name and Position | Jill M Hetterich (SENIOR DIRECTOR OF FINANCE URMFG) |
| Authorized Official Contact | 5857564008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrics & Adolescent Medicine Group 601 Elmwood Ave Box 635 Rochester NY 14642-0001 Ph: (585) 784-9749 | Pediatrics & Adolescent Medicine Group 601 Elmwood Ave Box 635 Rochester NY 14642-0001 Ph: (585) 275-7787 |
| NPI Number | 1104861772 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 9133169022 |
|---|---|
| Medicare Enrollment ID | O20050510000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104861772 | NPI | - | NPPES |
| 00485887 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael A Scharf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942216056 PECOS PAC ID: 5698678894 Enrollment ID: I20040127000675 |
| Provider Name | Olle Jane Z Sahler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437195385 PECOS PAC ID: 6305850967 Enrollment ID: I20060202000730 |
| Provider Name | Michele L Burtner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003849522 PECOS PAC ID: 4284698309 Enrollment ID: I20071101000440 |
| Provider Name | Casey B Rosen-carole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164608329 PECOS PAC ID: 9436217130 Enrollment ID: I20091023000240 |
| Provider Name | Andrew L Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538392154 PECOS PAC ID: 5991976557 Enrollment ID: I20110913000109 |
| Provider Name | Taylor B Starr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689845034 PECOS PAC ID: 3678739570 Enrollment ID: I20120720000592 |
| Provider Name | Galina S Radunsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174847974 PECOS PAC ID: 3779725502 Enrollment ID: I20130807000750 |
| Provider Name | Katherine Blumoff Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497929806 PECOS PAC ID: 2860616315 Enrollment ID: I20140624001422 |
| Provider Name | Kathleen S Palmiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710345152 PECOS PAC ID: 1052610128 Enrollment ID: I20160425001955 |
| Provider Name | Nancy Baehr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740368075 PECOS PAC ID: 8426330176 Enrollment ID: I20170113000241 |
| Provider Name | Erica A Bostick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386987006 PECOS PAC ID: 8022364751 Enrollment ID: I20180710002931 |
| Provider Name | Anna C Jack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023437720 PECOS PAC ID: 9830449487 Enrollment ID: I20180904000215 |
| Provider Name | Susan M Yussman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801832761 PECOS PAC ID: 9537409511 Enrollment ID: I20190329001403 |
| Provider Name | Jamie E Mehringer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922340330 PECOS PAC ID: 3274835616 Enrollment ID: I20200916002602 |
| Provider Name | Heather Lynn Wensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801182456 PECOS PAC ID: 6507262664 Enrollment ID: I20210915001532 |
| Provider Name | Shawnalle Guadalupe Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699372375 PECOS PAC ID: 9234518804 Enrollment ID: I20220628002389 |
| Provider Name | Susan Jessica Wiener |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942737291 PECOS PAC ID: 8224499157 Enrollment ID: I20230725002856 |
| Provider Name | Lauren Mutignani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023753498 PECOS PAC ID: 6709249782 Enrollment ID: I20230823002502 |
| Provider Name | Meredith R Kells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356595391 PECOS PAC ID: 7012194236 Enrollment ID: I20230830002505 |
Khadijah Tillman, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Chelmsford Rd, Rochester, NY 14618 Phone: 585-713-2071 Fax: 585-461-5503 | |
Sleep Insights Management Services,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Hagen Dr, Suite 120, Rochester, NY 14625 Phone: 585-385-6070 | |
Linden Oaks Sexual Abuse Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Linden Oaks Ste 200, Rochester, NY 14625 Phone: 585-586-6840 Fax: 585-586-7951 | |
Gaskill Counseling Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Weiland Rd Ste 200, Rochester, NY 14626 Phone: 585-510-6110 Fax: 585-684-8362 | |
Strong Tower Mental Health Counseling Of New York, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Northaven Ter, Rochester, NY 14621 Phone: 631-835-5864 | |
Wingspan Counseling Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 95 Allens Creek Rd Ste 9, Rochester, NY 14618 Phone: 585-568-7864 Fax: 855-523-1669 | |
Naomi Smith Mental Health Counselor Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Flower Dale Dr, Rochester, NY 14626 Phone: 585-204-0806 |