| Mohawk Valley Nephrology Associates | |
|
125 Business Park Dr Ste 150 Utica NY 13502-6322 | |
| (315) 735-3541 | |
| (315) 724-3255 |
| Full Name | Mohawk Valley Nephrology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 Business Park Dr Ste 150, Utica, New York |
| Authorized Official Name and Position | Lorraine A Lane (BILLING MANAGER) |
| Authorized Official Contact | 3157243880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohawk Valley Nephrology Associates 125 Business Park Dr Ste 150 Utica NY 13502-6322 Ph: (315) 735-3541 | Mohawk Valley Nephrology Associates 125 Business Park Dr Ste 150 Utica NY 13502-6322 Ph: (315) 735-3541 |
| NPI Number | 1548287329 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 09/06/2024 |
| Medicare PECOS PAC ID | 8921074717 |
|---|---|
| Medicare Enrollment ID | O20040902001124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548287329 | NPI | - | NPPES |
| DC5232 | Other | NY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Charles J Eldredge |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215989322 PECOS PAC ID: 0143292128 Enrollment ID: I20040810001006 |
| Provider Name | Ahmad Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548346661 PECOS PAC ID: 6103824750 Enrollment ID: I20071105000409 |
| Provider Name | Daniel Freedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104596949 PECOS PAC ID: 5991102592 Enrollment ID: I20210924000440 |
| Provider Name | Dijana Ahmetasevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265110506 PECOS PAC ID: 8022463207 Enrollment ID: I20231007000330 |
A Louis Shaheen Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Eagle Street, Utica, NY 13501 Phone: 315-735-4447 Fax: 315-735-4071 | |
Toby Taylor, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Genesee St, Utica, NY 13502 Phone: 315-735-4246 Fax: 315-735-4247 | |
Upstate Family Health Center Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Noyes St, Utica, NY 13502 Phone: 315-624-9470 Fax: 315-624-9480 | |
William A Graber Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Business Park Dr Ste 150, Utica, NY 13502 Phone: 315-235-2540 Fax: 315-235-2171 | |
Douglas Ahn, M.d., P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Business Park Dr, Suite 1, Utica, NY 13502 Phone: 315-738-7883 Fax: 315-738-0347 | |
Mosaic Health Utica Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Parkside Ct Bldg 1, Utica, NY 13501 Phone: 585-325-2280 | |
Kelberman Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2608 Genesee St, Utica, NY 13502 Phone: 315-797-6241 Fax: 315-749-7054 |