Lakeshore Primary Care Associates Llp | |
4855 Camp Rd Suite 100 Hamburg NY 14075 | |
(716) 646-1084 | |
(716) 646-0763 |
Full Name | Lakeshore Primary Care Associates Llp |
---|---|
Speciality | Family Medicine |
Location | 4855 Camp Rd, Hamburg, New York |
Authorized Official Name and Position | Judy Scheuneman (OFFICE MANAGER) |
Authorized Official Contact | 7166461084 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lakeshore Primary Care Associates Llp 4855 Camp Rd Suite 100 Hamburg NY 14075 Ph: (716) 646-1084 | Lakeshore Primary Care Associates Llp 4855 Camp Rd Suite 100 Hamburg NY 14075 Ph: (716) 646-1084 |
NPI Number | 1225250525 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 07/27/2014 |
Medicare PECOS PAC ID | 9931013703 |
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Medicare Enrollment ID | O20031117000149 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225250525 | NPI | - | NPPES |
02933833 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Diane M Cozzo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215019930 PECOS PAC ID: 1759270283 Enrollment ID: I20040312000894 |
Provider Name | Mary C Bracken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376505099 PECOS PAC ID: 8820068265 Enrollment ID: I20040730001125 |
Provider Name | Lisa Forehand |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538127113 PECOS PAC ID: 8022069814 Enrollment ID: I20050209000627 |
Provider Name | Scott J Zuccala |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1487657094 PECOS PAC ID: 2769436336 Enrollment ID: I20050307000337 |
Provider Name | Thomas Francis Hughes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518928290 PECOS PAC ID: 4385547595 Enrollment ID: I20050623000579 |
Provider Name | Amy Lynn Baun |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851469191 PECOS PAC ID: 6608974902 Enrollment ID: I20070611000453 |
Provider Name | Elvin D Witmer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356384382 PECOS PAC ID: 6901906064 Enrollment ID: I20070703000380 |
Provider Name | Sarah A Cook |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1740401918 PECOS PAC ID: 8628162369 Enrollment ID: I20070926000004 |
Provider Name | Kristen M Robillard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508800491 PECOS PAC ID: 3173437951 Enrollment ID: I20100115000711 |
Provider Name | Sara M Burgio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407823263 PECOS PAC ID: 4688717051 Enrollment ID: I20100208000121 |
Provider Name | Michael P Kane |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790728004 PECOS PAC ID: 2769576669 Enrollment ID: I20100219000630 |
Provider Name | Deborah A Matteliano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902857790 PECOS PAC ID: 2769519206 Enrollment ID: I20100414000992 |
Provider Name | Maria E Matala Sullivan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912940214 PECOS PAC ID: 4385771534 Enrollment ID: I20100421000119 |
Provider Name | Jessica E Ogorchock-congilosi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720221229 PECOS PAC ID: 5193988277 Enrollment ID: I20120530000327 |
Provider Name | Bradley R Ertel |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1932360773 PECOS PAC ID: 8325204480 Enrollment ID: I20120718000531 |
Provider Name | Ashley Iten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770904195 PECOS PAC ID: 4183846652 Enrollment ID: I20141118000914 |
Provider Name | Alexandra C Dangelo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952747974 PECOS PAC ID: 7719272285 Enrollment ID: I20160823000922 |
Provider Name | Janele Noworyta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134761471 PECOS PAC ID: 5799117172 Enrollment ID: I20191125000453 |
Provider Name | Kathryn Ryan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447884085 PECOS PAC ID: 5496184806 Enrollment ID: I20200407000661 |
Provider Name | Katherine Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245837442 PECOS PAC ID: 6709299639 Enrollment ID: I20210113001502 |
Provider Name | Jenna A Richey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184342719 PECOS PAC ID: 7618353756 Enrollment ID: I20220927003661 |
Hamburg Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Sunset Dr, Hamburg, NY 14075 Phone: 716-646-2590 | |
Donald W. Robinson, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3969 Legion Dr, Hamburg, NY 14075 Phone: 716-649-6687 Fax: 716-649-1502 | |
Southtowns Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3040 Amsdell Rd, Hamburg, NY 14075 Phone: 716-646-6700 Fax: 716-646-8515 | |
Sedona Holistic Medical Centre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3471 Parkwood Cmn, Hamburg, NY 14075 Phone: 716-432-4757 | |
Eric H. Goodwin Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Main St, Hamburg, NY 14075 Phone: 716-649-1342 Fax: 716-649-3909 | |
Steven P. Herman, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5893 Camp Rd, Suite 4, Hamburg, NY 14075 Phone: 716-649-7722 Fax: 716-649-7950 |