| Urmc Memory Care Program | |
|
315 Science Pkwy Ste 200 Rochester NY 14620-4200 | |
| (585) 273-5454 | |
| (585) 341-7510 |
| Full Name | Urmc Memory Care Program |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 315 Science Pkwy Ste 200, Rochester, New York |
| Authorized Official Name and Position | Jill M Hetterich (SR. 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 |
|---|---|
| Urmc Memory Care Program 315 Science Pkwy Ste 200 Rochester NY 14620-4200 Ph: (585) 273-5454 | Urmc Memory Care Program 315 Science Pkwy Ste 200 Rochester NY 14620-4200 Ph: (585) 273-5454 |
| NPI Number | 1447565759 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Medicare PECOS PAC ID | 9335320829 |
|---|---|
| Medicare Enrollment ID | O20110216000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447565759 | NPI | - | NPPES |
| 03278255 | Medicaid | NY |
| Provider Name | Elizabeth J Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588689343 PECOS PAC ID: 1951317817 Enrollment ID: I20060301000606 |
| Provider Name | Miriam T Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588757975 PECOS PAC ID: 3971698697 Enrollment ID: I20070926000780 |
| Provider Name | Frederick J Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710906391 PECOS PAC ID: 3375669856 Enrollment ID: I20100922000784 |
| Provider Name | Anton P Porsteinsson |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1740225028 PECOS PAC ID: 7810189180 Enrollment ID: I20101005000436 |
| Provider Name | Ann E Magnussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467737163 PECOS PAC ID: 2860668936 Enrollment ID: I20111221000056 |
| Provider Name | Barbara C Dahlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689804304 PECOS PAC ID: 2769764489 Enrollment ID: I20170112002464 |
| Provider Name | Hochang B Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649212754 PECOS PAC ID: 8921090986 Enrollment ID: I20180105000906 |
| Provider Name | Angela M Kristan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1518386226 PECOS PAC ID: 8426305111 Enrollment ID: I20180726001757 |
| Provider Name | Brittany E Mott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982090999 PECOS PAC ID: 4880944792 Enrollment ID: I20190715001662 |
| Provider Name | Emily D Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588050587 PECOS PAC ID: 0648520544 Enrollment ID: I20210311001935 |
| Provider Name | Melanie Ann Keltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225610413 PECOS PAC ID: 5395140909 Enrollment ID: I20211202000208 |
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 |