| Gates Family Medicine, Llc | |
|
2870 Buffalo Rd Rochester NY 14624-1340 | |
| (585) 426-1290 | |
| (585) 426-2597 |
| Full Name | Gates Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2870 Buffalo Rd, Rochester, New York |
| Authorized Official Name and Position | Rickey Herrmann (OWNER) |
| Authorized Official Contact | 5854261290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gates Family Medicine, Llc 2870 Buffalo Rd Rochester NY 14624-1340 Ph: (585) 426-1290 | Gates Family Medicine, Llc 2870 Buffalo Rd Rochester NY 14624-1340 Ph: (585) 426-1290 |
| NPI Number | 1710259767 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 01/31/2013 |
| Medicare PECOS PAC ID | 5496919409 |
|---|---|
| Medicare Enrollment ID | O20120604000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710259767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cheryl A Herrmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578590337 PECOS PAC ID: 2466482385 Enrollment ID: I20050819000313 |
| Provider Name | Rickey Herrmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992802524 PECOS PAC ID: 2264464924 Enrollment ID: I20050902000389 |
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