| Gastroenterology Associates Of Ithaca, Pc | |
|
2435 N Triphammer Rd Ithaca NY 14850-1047 | |
| (607) 272-5011 | |
| (607) 272-5861 |
| Full Name | Gastroenterology Associates Of Ithaca, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2435 N Triphammer Rd, Ithaca, New York |
| Authorized Official Name and Position | Peter T. Brennan (PRESIDENT) |
| Authorized Official Contact | 6072725011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Associates Of Ithaca, Pc 2435 N Triphammer Rd Ithaca NY 14850-1047 Ph: (607) 272-5011 | Gastroenterology Associates Of Ithaca, Pc 2435 N Triphammer Rd Ithaca NY 14850-1047 Ph: (607) 272-5011 |
| NPI Number | 1538113709 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 01/09/2013 |
| Medicare PECOS PAC ID | 5597773184 |
|---|---|
| Medicare Enrollment ID | O20060323000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538113709 | NPI | - | NPPES |
| 02423352 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Brent D Lemberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710931654 PECOS PAC ID: 2961410139 Enrollment ID: I20060329000617 |
| Provider Name | Adam Robert Riordan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508126988 PECOS PAC ID: 6305154295 Enrollment ID: I20180621001281 |
| Provider Name | Caitlin Louise Foor-pessin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215290846 PECOS PAC ID: 2769777655 Enrollment ID: I20180720000568 |
| Provider Name | Kevin P Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710524616 PECOS PAC ID: 1355778986 Enrollment ID: I20200623003347 |
Primary Care Internal Medicine Of Ithaca, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 N Aurora St, Ithaca, NY 14850 Phone: 607-273-2811 Fax: 607-273-1170 | |
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Cornell University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Ho Plaza, Ithaca, NY 14853 Phone: 607-255-5155 Fax: 607-255-0269 | |
Marne Oshae Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 N Cayuga St, Ithaca, NY 14850 Phone: 607-273-5551 Fax: 607-275-0313 | |
Reach Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 N Cayuga St, Ithaca, NY 14850 Phone: 607-273-7000 Fax: 607-273-7001 | |
Ithaca Medical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 953 Danby Rd, Ithaca, NY 14850 Phone: 607-882-0010 | |
24 On Physician New York, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4191 Fax: 607-274-4198 |