| Trillium Health, Inc | |
|
259 Monroe Avenue Rochester NY 14607-3632 | |
| (585) 545-7200 | |
| (585) 244-6456 |
| Full Name | Trillium Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 259 Monroe Avenue, Rochester, New York |
| Authorized Official Name and Position | Andrea Demeo (PRESIDENT & CEO) |
| Authorized Official Contact | 5852104103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trillium Health, Inc 259 Monroe Avenue Rochester NY 14607-3632 Ph: (585) 545-7200 | Trillium Health, Inc 259 Monroe Avenue Rochester NY 14607-3632 Ph: (585) 545-7200 |
| NPI Number | 1861496358 |
|---|---|
| Provider Enumeration Date | 06/13/2005 |
| Last Update Date | 10/06/2015 |
| Medicare PECOS PAC ID | 9931095007 |
|---|---|
| Medicare Enrollment ID | O20040225000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861496358 | NPI | - | NPPES |
| 01230991 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mary E Ciranni Callon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316903164 PECOS PAC ID: 8729986427 Enrollment ID: I20031219000248 |
| Provider Name | Samuel E Tripp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336177195 PECOS PAC ID: 1557260262 Enrollment ID: I20031231000693 |
| Provider Name | Annamaria Kontor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669484911 PECOS PAC ID: 0648261776 Enrollment ID: I20040519000294 |
| Provider Name | Laureen A Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154383602 PECOS PAC ID: 4587623624 Enrollment ID: I20041006000464 |
| Provider Name | Timothy G Dezastro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598723017 PECOS PAC ID: 5597715284 Enrollment ID: I20050204000225 |
| Provider Name | Adel S Sulaiman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255432944 PECOS PAC ID: 4486670908 Enrollment ID: I20051024000297 |
| Provider Name | Elissa H Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336160993 PECOS PAC ID: 2163443664 Enrollment ID: I20051214000431 |
| Provider Name | William M Valenti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003812868 PECOS PAC ID: 5698781367 Enrollment ID: I20060306000083 |
| Provider Name | Michael D Mancenido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669536496 PECOS PAC ID: 0042319766 Enrollment ID: I20070621000157 |
| Provider Name | Christopher J Davis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568484780 PECOS PAC ID: 8325934417 Enrollment ID: I20070705000561 |
| Provider Name | Ahmad Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487747424 PECOS PAC ID: 0446291405 Enrollment ID: I20080708000213 |
| Provider Name | Patrick J Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891718862 PECOS PAC ID: 6507921186 Enrollment ID: I20090213000463 |
| Provider Name | Clint Jeremy Koenig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124000781 PECOS PAC ID: 7113822131 Enrollment ID: I20090831000505 |
| Provider Name | Jacquelyn C Howitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407816804 PECOS PAC ID: 5395841639 Enrollment ID: I20100810000255 |
| Provider Name | Mary B Frachioni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336211382 PECOS PAC ID: 0648395988 Enrollment ID: I20100910000149 |
| Provider Name | Carole J Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639132798 PECOS PAC ID: 4486698230 Enrollment ID: I20101208000841 |
| Provider Name | Sarah J Bolduc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427176478 PECOS PAC ID: 3375711807 Enrollment ID: I20110727000356 |
| Provider Name | Jenney A Stringer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083048680 PECOS PAC ID: 9234363102 Enrollment ID: I20131008000959 |
| Provider Name | Kristin E Palladino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548600059 PECOS PAC ID: 5092941039 Enrollment ID: I20131121000073 |
| Provider Name | Joan S Brenner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952366098 PECOS PAC ID: 3678556446 Enrollment ID: I20140324000525 |
| Provider Name | Stephanie Beneski-barlow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699093161 PECOS PAC ID: 0143449900 Enrollment ID: I20140910001262 |
| Provider Name | Caitlin P Legros |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891088134 PECOS PAC ID: 7719135334 Enrollment ID: I20141021000962 |
| Provider Name | Kevin A Kless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932336518 PECOS PAC ID: 8022266642 Enrollment ID: I20150113001293 |
| Provider Name | Kelsey L Conn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104230440 PECOS PAC ID: 7012238488 Enrollment ID: I20150610002088 |
| Provider Name | Wendy J Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922480185 PECOS PAC ID: 8820383540 Enrollment ID: I20160819001327 |
| Provider Name | Jeffrey P Dulko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770882466 PECOS PAC ID: 7719275916 Enrollment ID: I20161004000110 |
| Provider Name | Jeffrey Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932452877 PECOS PAC ID: 4082978622 Enrollment ID: I20180507000377 |
| Provider Name | Angela R Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285739128 PECOS PAC ID: 1153424759 Enrollment ID: I20180702001984 |
| Provider Name | Jacob Scutaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497195515 PECOS PAC ID: 5799035986 Enrollment ID: I20180910001929 |
| Provider Name | Mary Zagari Kampf Macleod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336529973 PECOS PAC ID: 2567714496 Enrollment ID: I20181004000391 |
| Provider Name | Sean E Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255825634 PECOS PAC ID: 8325384373 Enrollment ID: I20190111000606 |
| Provider Name | Penelope Parris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740317056 PECOS PAC ID: 0840520649 Enrollment ID: I20190920002105 |
| Provider Name | Stella M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720633704 PECOS PAC ID: 7012343635 Enrollment ID: I20200130000557 |
| Provider Name | Karina Vattana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629565916 PECOS PAC ID: 2769719335 Enrollment ID: I20210817003282 |
| Provider Name | Charlotte M Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962177097 PECOS PAC ID: 6800291378 Enrollment ID: I20210820002040 |
| Provider Name | Savannah Wentz Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255990644 PECOS PAC ID: 8022342807 Enrollment ID: I20221031000632 |
Jeffrey A Liberman Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 485 Titus Ave Ste H, Rochester, NY 14617 Phone: 585-544-5368 Fax: 585-287-5304 | |
Brown Square Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 Lake Ave, Brown Square Center, Rochester, NY 14608 Phone: 585-254-6480 Fax: 585-254-1092 | |
Diabetes Prevention Recognition Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2655 Ridgeway Ave Ste 220, Rochester, NY 14626 Phone: 585-368-6542 Fax: 585-368-4373 | |
Rekhi & Rekhi Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1561 Long Pond Rd, Suite 411, Rochester, NY 14626 Phone: 585-426-9930 Fax: 585-426-6242 | |
Highland Hospital Of Rochester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 South Ave, Rochester, NY 14620 Phone: 585-341-6895 Fax: 585-341-8401 | |
Joy Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 N Goodman St, Rochester, NY 14609 Phone: 585-697-0004 Fax: 585-697-0046 | |
Adult Complex Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Culver Rd, Rochester, NY 14609 Phone: 585-276-7900 Fax: 585-275-2352 |