Delaware Valley Hospital, Inc - Medicare Primary Care in Walton, NY

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Delaware Valley Hospital, Inc is a medicare enrolled primary clinic (Clinic/center - Critical Access Hospital) in Walton, New York. The current practice location for Delaware Valley Hospital, Inc is 2 Titus Pl, Walton, New York. For appointments, you can reach them via phone at (607) 865-2400. The mailing address for Delaware Valley Hospital, Inc is 2 Titus Pl, Walton, New York and phone number is (607) 865-2400.

Delaware Valley Hospital, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1144312646. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (607) 865-2400.

Contact Information

Delaware Valley Hospital, Inc
2 Titus Pl
Walton
NY 13856-1455
(607) 865-2400
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameDelaware Valley Hospital, Inc
SpecialityClinic/Center
Location2 Titus Pl, Walton, New York
Authorized Official Name and PositionRolland Bojo (PRESIDENT/CEO)
Authorized Official Contact6078652162
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Delaware Valley Hospital, Inc
2 Titus Pl
Walton
NY 13856-1455

Ph: (607) 865-2400		Delaware Valley Hospital, Inc
2 Titus Pl
Walton
NY 13856-1455

Ph: (607) 865-2400

NPI Details:

NPI Number1144312646
Provider Enumeration Date09/29/2006
Last Update Date11/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2860388337
Medicare Enrollment IDO20040223001307

Medical Identifiers

Medical identifiers for Delaware Valley Hospital, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144312646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QC0050XClinic/center - Critical Access Hospital (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Delaware Valley Hospital, Inc acts as a billing entity for following providers:
Provider NameMitchell Chess
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487602058
PECOS PAC ID: 0941101927
Enrollment ID: I20040114000493
Provider NameMargarita Gleyzer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194186627
PECOS PAC ID: 6800881426
Enrollment ID: I20040414001788
Provider NameVadim Davydov
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538264346
PECOS PAC ID: 0143215871
Enrollment ID: I20040420000770
Provider NameJane F.o. Gotthardt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871716282
PECOS PAC ID: 3375531239
Enrollment ID: I20040501000129
Provider NameMerita A Bania
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790731818
PECOS PAC ID: 2062493190
Enrollment ID: I20040525001794
Provider NameEmmanuel M Guizano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942294194
PECOS PAC ID: 9830172949
Enrollment ID: I20040610000323
Provider NameFrancis J Mangiacapra
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1386612216
PECOS PAC ID: 4183695638
Enrollment ID: I20040805001389
Provider NameValentina Davydov
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568546182
PECOS PAC ID: 8123095973
Enrollment ID: I20040913000461
Provider NameLawrence Wiesner
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1679574123
PECOS PAC ID: 8820054927
Enrollment ID: I20041209000342
Provider NameJeffrey Gray
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730172792
PECOS PAC ID: 5991762585
Enrollment ID: I20041215000552
Provider NameOlayinka O Wilhelm
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134117138
PECOS PAC ID: 5799726055
Enrollment ID: I20050517000449
Provider NameEdward Balaci
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932177870
PECOS PAC ID: 5496785750
Enrollment ID: I20050816000873
Provider NameGina Grace Puglisi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366472011
PECOS PAC ID: 3375574312
Enrollment ID: I20050829001066
Provider NameKimberly A Crum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619998077
PECOS PAC ID: 9537186986
Enrollment ID: I20051026000103
Provider NameThomas Gudas
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609843903
PECOS PAC ID: 9032124664
Enrollment ID: I20060217000337
Provider NameVincent Montone
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023086964
PECOS PAC ID: 1052328143
Enrollment ID: I20060315000118
Provider NameEdward Santelli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861460701
PECOS PAC ID: 7113935693
Enrollment ID: I20060328000010
Provider NameMohammad S Ibrahim
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1114938404
PECOS PAC ID: 7719080522
Enrollment ID: I20070316000020
Provider NameMaura Gordon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740345636
PECOS PAC ID: 0143321620
Enrollment ID: I20070727000536
Provider NameKeyoor Patel
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1598984668
PECOS PAC ID: 5890888630
Enrollment ID: I20070910000624
Provider NameAndrew M Goldschmidt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962470898
PECOS PAC ID: 8729171327
Enrollment ID: I20070912000174
Provider NameZafar J Bajwa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205848611
PECOS PAC ID: 9537255575
Enrollment ID: I20071022000536
Provider NameHenda Bouali
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1053495465
PECOS PAC ID: 0648351080
Enrollment ID: I20080111000262
Provider NameMark P Speicher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346215845
PECOS PAC ID: 0244312775
Enrollment ID: I20080123000520
Provider NameJoelle Underwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871770511
PECOS PAC ID: 5092891218
Enrollment ID: I20080327000469
Provider NameHisham Kashou
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1710988266
PECOS PAC ID: 0446323224
Enrollment ID: I20080728000232
Provider NameAli Marhaba
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1104827138
PECOS PAC ID: 1456401157
Enrollment ID: I20090617000574
Provider NameMark K Jackson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063405538
PECOS PAC ID: 2668523044
Enrollment ID: I20090624000621
Provider NameHarvey M Wiener
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194783761
PECOS PAC ID: 9537066311
Enrollment ID: I20100211000003
Provider NameMatthew K Reppert
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1003880683
PECOS PAC ID: 1052441722
Enrollment ID: I20100608000177
Provider NameMichael T Freeman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396743407
PECOS PAC ID: 7214052232
Enrollment ID: I20100915000006
Provider NameKim Evelyn Halaquist
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043522170
PECOS PAC ID: 1052437027
Enrollment ID: I20100928000005
Provider NameAmit Khaneja
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1922261486
PECOS PAC ID: 8123296902
Enrollment ID: I20110721000627
Provider NamePiotr Sadej
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730384512
PECOS PAC ID: 9537325048
Enrollment ID: I20120730000001
Provider NameCynthia M Cantwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184621062
PECOS PAC ID: 8820244486
Enrollment ID: I20120814000389
Provider NameSobia Naz Mirza
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1952645434
PECOS PAC ID: 2466691829
Enrollment ID: I20130614000198
Provider NameNoelle Marie Buffum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699109371
PECOS PAC ID: 2860628310
Enrollment ID: I20131112000394
Provider NameNabia S Ikram
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528201324
PECOS PAC ID: 0446475859
Enrollment ID: I20150917001688
Provider NameMuhammad I Ali
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1861659351
PECOS PAC ID: 9931342920
Enrollment ID: I20161123000514
Provider NameAmanke Chigozie Oranu
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1750544425
PECOS PAC ID: 4082899943
Enrollment ID: I20170712003108
Provider NameBrian Tischler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265723969
PECOS PAC ID: 5294967881
Enrollment ID: I20170828001175
Provider NameGina Paek
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770876898
PECOS PAC ID: 0345528857
Enrollment ID: I20171218000077
Provider NameMohammad A Abidi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1295153690
PECOS PAC ID: 8921224338
Enrollment ID: I20171222000068
Provider NameNicholas Andrew Putrino
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1407243207
PECOS PAC ID: 2163734229
Enrollment ID: I20180814003163
Provider NameJoann Sciacca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255444147
PECOS PAC ID: 0042591869
Enrollment ID: I20180824000347
Provider NameEirawen Brynn Luettgen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699259002
PECOS PAC ID: 0345585436
Enrollment ID: I20181218001705
Provider NameMuhammad Anwar
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1265986848
PECOS PAC ID: 9830423722
Enrollment ID: I20190626002876
Provider NameAbdelhamid Ben Selma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245757392
PECOS PAC ID: 0042553646
Enrollment ID: I20200715003536
Provider NameKirill Davidov
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730600370
PECOS PAC ID: 3870836992
Enrollment ID: I20200922000551
Provider NameMinhaz Ahmad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346775996
PECOS PAC ID: 5092058669
Enrollment ID: I20200928002502
Provider NameKabir Gandhi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1629365275
PECOS PAC ID: 7810289048
Enrollment ID: I20201104002495
Provider NameMaria S Bajwa
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1437683299
PECOS PAC ID: 0749523017
Enrollment ID: I20210813000824
Provider NameMatthew Jacob Halloran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922648419
PECOS PAC ID: 6800293200
Enrollment ID: I20210928002680
Provider NameKimberly Sheldon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285301465
PECOS PAC ID: 0547668964
Enrollment ID: I20211014001860
Provider NameGodson D Senyondo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801372289
PECOS PAC ID: 4688917271
Enrollment ID: I20211113000001
Provider NameZabih Ullah Warraich
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1316423411
PECOS PAC ID: 9234521931
Enrollment ID: I20220107002053
Provider NameKarena Trimbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750037321
PECOS PAC ID: 1254726094
Enrollment ID: I20220315000945
Provider NameShakthi N Sureddi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1114421336
PECOS PAC ID: 2365787173
Enrollment ID: I20221110000075
Provider NameShasta Treadway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245953959
PECOS PAC ID: 1658749031
Enrollment ID: I20221115003019
Provider NameGrace Mae Bartolillo
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1780348383
PECOS PAC ID: 9931378858
Enrollment ID: I20230310001619
Provider NameErica Marie Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114550415
PECOS PAC ID: 6709215858
Enrollment ID: I20230911002150
Provider NameTara Darling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831867035
PECOS PAC ID: 9931554482
Enrollment ID: I20231018002323
Provider NameSalman S Mirza
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093722308
PECOS PAC ID: 7810029436
Enrollment ID: I20240412001562

Reviews and Comments


Clinic/Center in Walton, NY

Mary Imogene Bassett Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 130 North St, Walton, NY 13856
Phone: 607-865-6541    Fax: 607-865-9164

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.