Ubmd Primary Care - Medicare Primary Care in Buffalo, NY

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Ubmd Primary Care is a medicare enrolled primary clinic (Family Medicine) in Buffalo, New York. The current practice location for Ubmd Primary Care is 77 Goodell Street, Suite 240, Buffalo, New York. For appointments, you can reach them via phone at (716) 645-9694. The mailing address for Ubmd Primary Care is 77 Goodell Street, Suite 240, Buffalo, New York and phone number is (716) 645-9694.

Ubmd Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1942294467. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (716) 645-9694.

Contact Information

Ubmd Primary Care
77 Goodell Street
Suite 240
Buffalo
NY 14203-1243
(716) 645-9694
(716) 845-6699

Map and Direction


Primary Care Clinic Profile

Full NameUbmd Primary Care
SpecialityFamily Medicine
Location77 Goodell Street, Buffalo, New York
Authorized Official Name and PositionHenry W Mcwilliams (CFO/PLAN ADMINISTRATOR)
Authorized Official Contact7168167228
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ubmd Primary Care
77 Goodell Street
Suite 240
Buffalo
NY 14203-1243

Ph: (716) 645-9694		Ubmd Primary Care
77 Goodell Street
Suite 240
Buffalo
NY 14203-1243

Ph: (716) 645-9694

NPI Details:

NPI Number1942294467
Provider Enumeration Date09/12/2005
Last Update Date04/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1658361381
Medicare Enrollment IDO20040514000861

Medical Identifiers

Medical identifiers for Ubmd Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942294467NPI-NPPES
01739220MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ubmd Primary Care acts as a billing entity for following providers:
Provider NameJennifer S Abeles
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952304024
PECOS PAC ID: 7911893102
Enrollment ID: I20040225000146
Provider NameDarren Alicandri
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1285864637
PECOS PAC ID: 6002707171
Enrollment ID: I20040320000505
Provider NameRichard D Blondell
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1255324547
PECOS PAC ID: 9830183599
Enrollment ID: I20040414000568
Provider NameAnimesh Sinha
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1285733014
PECOS PAC ID: 4880681857
Enrollment ID: I20040429001579
Provider NameSushama Kotmire Thandla
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003897414
PECOS PAC ID: 1658350590
Enrollment ID: I20040715000384
Provider NameLinda M Sudano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932182383
PECOS PAC ID: 5890756001
Enrollment ID: I20041021000323
Provider NameAntonia J Redhead
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740224641
PECOS PAC ID: 5092756593
Enrollment ID: I20050516000093
Provider NameAndrew Symons
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548238538
PECOS PAC ID: 8426092644
Enrollment ID: I20050617000327
Provider NameFrederick Michael Elliott
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1023080728
PECOS PAC ID: 8224066451
Enrollment ID: I20050729000376
Provider NameRita Sawyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922094549
PECOS PAC ID: 6204869209
Enrollment ID: I20050913000434
Provider NameAndrea T Manyon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659399095
PECOS PAC ID: 7517981293
Enrollment ID: I20060120000462
Provider NameScott R Darling
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1487691564
PECOS PAC ID: 8426151739
Enrollment ID: I20070307000066
Provider NameMichael J Aronica
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831158195
PECOS PAC ID: 6608970785
Enrollment ID: I20070329000265
Provider NameDiana Wilkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093937765
PECOS PAC ID: 3072608314
Enrollment ID: I20071002000626
Provider NameShirley B Mazourek
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760545834
PECOS PAC ID: 6103908140
Enrollment ID: I20080129000583
Provider NameDaniel Morelli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023003027
PECOS PAC ID: 3577641570
Enrollment ID: I20080416000255
Provider NameWilliam R Levis
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1073554655
PECOS PAC ID: 2668548108
Enrollment ID: I20080905000571
Provider NameRoseanne C Berger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184617706
PECOS PAC ID: 8022170463
Enrollment ID: I20081219000121
Provider NameRanjit Singh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194718486
PECOS PAC ID: 3173674397
Enrollment ID: I20090630000236
Provider NameDavid Holmes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780678409
PECOS PAC ID: 4688709207
Enrollment ID: I20100320000080
Provider NamePatricia A Pastore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013901966
PECOS PAC ID: 8022133032
Enrollment ID: I20100914001303
Provider NameKim S Griswold
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568456424
PECOS PAC ID: 9830214840
Enrollment ID: I20100914001317
Provider NameColeen M Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588981575
PECOS PAC ID: 6901081751
Enrollment ID: I20110421000383
Provider NameMohammadreza Azadfard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689841488
PECOS PAC ID: 9931386422
Enrollment ID: I20110609000601
Provider NamePriyanka Patnaik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932360799
PECOS PAC ID: 5890963755
Enrollment ID: I20110719000817
Provider NameDavid M Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316939333
PECOS PAC ID: 3072788819
Enrollment ID: I20111207000145
Provider NameDavid S Newberger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134191026
PECOS PAC ID: 0042485716
Enrollment ID: I20111207000557
Provider NamePeter F Kowalski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003809393
PECOS PAC ID: 7517132210
Enrollment ID: I20111208000010
Provider NameGregory P Schenk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558354837
PECOS PAC ID: 7214102912
Enrollment ID: I20111208000049
Provider NameMarlon R Koenigsberg
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1538112164
PECOS PAC ID: 6901072552
Enrollment ID: I20120103000065
Provider NameDenise M Donahue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003138637
PECOS PAC ID: 7315108206
Enrollment ID: I20120420000210
Provider NameJulie Fasanello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225393689
PECOS PAC ID: 3577715333
Enrollment ID: I20121201000045
Provider NameMasashi Ohira
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750601779
PECOS PAC ID: 4981839776
Enrollment ID: I20131104000223
Provider NameRobert G Lugo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700179827
PECOS PAC ID: 6406073311
Enrollment ID: I20140815001183
Provider NamePaula M Leszak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982018388
PECOS PAC ID: 4981823895
Enrollment ID: I20140908001805
Provider NameJessica M Kostrewa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588066468
PECOS PAC ID: 8921324609
Enrollment ID: I20150225000678
Provider NameDeepa K Gosine
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508158304
PECOS PAC ID: 5991014326
Enrollment ID: I20151026000242
Provider NamePatrick Glasgow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629358379
PECOS PAC ID: 4587960679
Enrollment ID: I20160316001006
Provider NameSangrok Oh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891131439
PECOS PAC ID: 4385931005
Enrollment ID: I20160923001459
Provider NameSarah A Abdelsayed
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1093065138
PECOS PAC ID: 9032346622
Enrollment ID: I20170530000533
Provider NameChristina L Padgett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831535681
PECOS PAC ID: 2668744996
Enrollment ID: I20170822002733
Provider NameCarmen L Torres
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760913503
PECOS PAC ID: 4486917135
Enrollment ID: I20180411002695
Provider NameJenine M Paner-bansi
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1316383672
PECOS PAC ID: 2769778414
Enrollment ID: I20180420001356
Provider NameElizabeth Gabel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932587797
PECOS PAC ID: 7911253919
Enrollment ID: I20180705001551
Provider NameRobert W Macek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306231329
PECOS PAC ID: 5890044713
Enrollment ID: I20180824002332
Provider NameAshley M Mccorkle
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750701959
PECOS PAC ID: 7911258868
Enrollment ID: I20180917001265
Provider NameKaitlyn S Domres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538546304
PECOS PAC ID: 3971855206
Enrollment ID: I20181015000832
Provider NameMichelle L Lombardo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083008445
PECOS PAC ID: 5395083968
Enrollment ID: I20191021001719
Provider NameJenna Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497394746
PECOS PAC ID: 0143657981
Enrollment ID: I20200217004540
Provider NameKimberly Joanne Wilkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851825442
PECOS PAC ID: 8921345364
Enrollment ID: I20201110002547
Provider NameJill N Tirabassi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720345606
PECOS PAC ID: 5890008015
Enrollment ID: I20201113002005
Provider NameKevin Patrick Hughes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285131284
PECOS PAC ID: 8426395799
Enrollment ID: I20210811001556
Provider NameHui Tung Tony Lin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992292213
PECOS PAC ID: 9739426131
Enrollment ID: I20210910002915
Provider NameMichele Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588184808
PECOS PAC ID: 0547666745
Enrollment ID: I20210914002554
Provider NameDemetra Mcilwain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871056002
PECOS PAC ID: 6406183755
Enrollment ID: I20221116002362
Provider NameAndrew D. Baumgartner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285263350
PECOS PAC ID: 2264899871
Enrollment ID: I20230613000213
Provider NameJemma N. Rampersaud
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235793399
PECOS PAC ID: 8426387630
Enrollment ID: I20230614002123
Provider NameLogan K Walker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912535113
PECOS PAC ID: 8820411366
Enrollment ID: I20230703001376
Provider NameNicole A Baruch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669975918
PECOS PAC ID: 1456609007
Enrollment ID: I20230706002002
Provider NameSteven Foulis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265055248
PECOS PAC ID: 7012377179
Enrollment ID: I20230720002343

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.