Dr Raymond Divasto, DPM | |
45 North Ave, Webster, NY 14580-3054 | |
(585) 872-6520 | |
(585) 872-6357 |
Full Name | Dr Raymond Divasto |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 29 Years |
Location | 45 North Ave, Webster, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588629653 | NPI | - | NPPES |
01955480 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | N005527 (New York) | Secondary |
213ES0131X | Podiatrist - Foot Surgery | N005527-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monroe Podiatry Group | 7911965009 | 2 |
Provider Name | Monroe Podiatry Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023189842 PECOS PAC ID: 7911965009 Enrollment ID: O20041221000432 |
Mailing Address | Practice Location Address |
---|---|
Dr Raymond Divasto, DPM 45 North Ave, Webster, NY 14580-3054 Ph: (585) 872-6520 | Dr Raymond Divasto, DPM 45 North Ave, Webster, NY 14580-3054 Ph: (585) 872-6520 |
Monroe Podiatry Group Podiatrist Medicare: Medicare Enrolled Practice Location: 45 North Ave, Webster, NY 14580 Phone: 585-872-6520 Fax: 585-872-6357 | |
Dr. Faiza Javaid, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1672 Empire Blvd Ste 100, Webster, NY 14580 Phone: 585-784-9582 | |
Dr. Maurice A Palucci, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 45 North Ave, Webster, NY 14580 Phone: 585-872-6520 Fax: 585-872-6357 | |
Dr. Anthony L Orsini, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 45 North Ave, Webster, NY 14580 Phone: 585-872-6520 | |
Dr. David Edward High, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2000 Empire Blvd, Webster, NY 14580 Phone: 585-787-2270 Fax: 585-787-9464 | |
Dr. Charles Francis Coyle Jr., DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 738 Bel Arbor Trl, Webster, NY 14580 Phone: 585-872-0557 Fax: 585-872-0557 |