| Family Health Medical Services Pllc | |
|
103 Allen St Jamestown NY 14701-6968 | |
| (716) 338-0022 | |
| (716) 338-1567 |
| Full Name | Family Health Medical Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Allen St, Jamestown, New York |
| Authorized Official Name and Position | Leah Kinal (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7163380022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Medical Services Pllc 103 Allen St Jamestown NY 14701-6968 Ph: (716) 338-0022 | Family Health Medical Services Pllc 103 Allen St Jamestown NY 14701-6968 Ph: (716) 338-0022 |
| NPI Number | 1619072204 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 09/17/2024 |
| Medicare PECOS PAC ID | 9133221666 |
|---|---|
| Medicare Enrollment ID | O20070301000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619072204 | NPI | - | NPPES |
| GRP512246001 | Other | NY | BCBSWNY |
| 02849278 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cynthia A Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285608844 PECOS PAC ID: 7214942127 Enrollment ID: I20060216000206 |
| Provider Name | Alexander Z Selioutski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851360606 PECOS PAC ID: 3577665009 Enrollment ID: I20070305000116 |
| Provider Name | Robert Berke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720057599 PECOS PAC ID: 2961485636 Enrollment ID: I20070305000144 |
| Provider Name | Albert J Persia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154310266 PECOS PAC ID: 6901904861 Enrollment ID: I20070531000403 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Elizabeth A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245416387 PECOS PAC ID: 1052458130 Enrollment ID: I20091021000782 |
| Provider Name | Jeremy M Riedesel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851610950 PECOS PAC ID: 1254457443 Enrollment ID: I20100924000751 |
| Provider Name | Ashley Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
| Provider Name | Mary Jill Vaillancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104290915 PECOS PAC ID: 0244531747 Enrollment ID: I20160819002082 |
| Provider Name | Samantha L Kapuscinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821459066 PECOS PAC ID: 6608162599 Enrollment ID: I20160831002655 |
| Provider Name | Jennifer Lynn Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225594369 PECOS PAC ID: 3577803766 Enrollment ID: I20190326001922 |
| Provider Name | Sarah J Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801305933 PECOS PAC ID: 5294099412 Enrollment ID: I20200928001116 |
| Provider Name | Metivia Anne Whitmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982695839 PECOS PAC ID: 5294721726 Enrollment ID: I20201027001953 |
| Provider Name | Kayla Elizabeth Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790403129 PECOS PAC ID: 0941675581 Enrollment ID: I20230412001583 |
Chautauqua County Chapeter, Nysarc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Jones And Gifford Ave, Jamestown, NY 14701 Phone: 716-661-1541 | |
The Resource Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 890 E 2nd St, Jamestown, NY 14701 Phone: 716-661-1448 | |
Mumtaz Rajabali Karimi, Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Reda Elsayed Shedeed Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-1124 | |
Michael D Mitchell, Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 | |
Umamaheswara Rao Vejendla Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Foote Avenue, Jamestown, NY 14701 Phone: 716-664-5290 | |
Saquib Ibrahim, Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-487-0141 |