| Tri-county Family Medicine Program, Inc. | |
|
10869 State Route 36 South Dansville NY 14437-0601 | |
| (585) 335-3416 | |
| (585) 335-8695 |
| Full Name | Tri-county Family Medicine Program, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 10869 State Route 36 South, Dansville, New York |
| Authorized Official Name and Position | Nicholas H. Apostoleris (CEO) |
| Authorized Official Contact | 5853353100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Family Medicine Program, Inc. Po Box 601 10869 Rte 36 South Dansville NY 14437-0601 Ph: (585) 335-3416 | Tri-county Family Medicine Program, Inc. 10869 State Route 36 South Dansville NY 14437-0601 Ph: (585) 335-3416 |
| NPI Number | 1588649503 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 12/16/2022 |
| Medicare PECOS PAC ID | 4183699937 |
|---|---|
| Medicare Enrollment ID | O20040826000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588649503 | NPI | - | NPPES |
| 00355257 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2527200R (New York) | Primary |
| 208000000X | Pediatrics | 2527200R (New York) | Secondary |
| Provider Name | Bernard P Sweeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417907817 PECOS PAC ID: 9537101753 Enrollment ID: I20050527000512 |
| Provider Name | Geoffrey G Wittig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962460014 PECOS PAC ID: 8921183955 Enrollment ID: I20080314000148 |
| Provider Name | Richard L Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710972013 PECOS PAC ID: 9830256049 Enrollment ID: I20090316000058 |
| Provider Name | Joseph Depra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851379929 PECOS PAC ID: 1759424864 Enrollment ID: I20100211000139 |
| Provider Name | Ayesha Tasaddaq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972831782 PECOS PAC ID: 7113112418 Enrollment ID: I20101112000053 |
| Provider Name | Melinda Darci Tellier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861706913 PECOS PAC ID: 3173719564 Enrollment ID: I20101124000658 |
| Provider Name | Nichole Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366045312 PECOS PAC ID: 6002223369 Enrollment ID: I20210402000190 |
| Provider Name | Colleen Kilbourne Tracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003313206 PECOS PAC ID: 1456604487 Enrollment ID: I20210914001846 |
| Provider Name | Sana A Shakeel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386106607 PECOS PAC ID: 0547597924 Enrollment ID: I20220914000363 |
| Provider Name | Erin Douthit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588391825 PECOS PAC ID: 8426424458 Enrollment ID: I20221017002386 |
| Provider Name | Leah Marie Allen Hayward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164146676 PECOS PAC ID: 8921477837 Enrollment ID: I20221216000485 |
| Provider Name | Paula Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619749850 PECOS PAC ID: 3779933510 Enrollment ID: I20231220001482 |
David H. Breen Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36 Elizabeth St, Dansville, NY 14437 Phone: 585-243-4000 Fax: 585-243-4002 | |
Shifa Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26 Red Jacket St, Dansville, NY 14437 Phone: 585-335-2210 | |
Dansville Internal Medicine Assoc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Main St, Dansville, NY 14437 Phone: 585-335-8320 | |
Tri-county Family Medicine Program, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Red Jacket Street, Suite 1, Dansville, NY 14437 Phone: 585-335-6041 Fax: 585-335-6764 |