| Webster Medical Group, Pc. | |
|
45 Webster Commons Blvd Suite 200 Webster NY 14580-3813 | |
| (585) 872-0650 | |
| (585) 872-2474 |
| Full Name | Webster Medical Group, Pc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Webster Commons Blvd, Webster, New York |
| Authorized Official Name and Position | Vicki Lynn Wenzel (BUSINESS OFFICE) |
| Authorized Official Contact | 5858728442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Webster Medical Group, Pc. 45 Webster Commons Blvd Suite 200 Webster NY 14580-3813 Ph: (585) 872-0650 | Webster Medical Group, Pc. 45 Webster Commons Blvd Suite 200 Webster NY 14580-3813 Ph: (585) 872-0650 |
| NPI Number | 1609905207 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 02/17/2010 |
| Medicare PECOS PAC ID | 9638366313 |
|---|---|
| Medicare Enrollment ID | O20101207000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609905207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Barton W Kaplan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184615916 PECOS PAC ID: 0345365698 Enrollment ID: I20100910000330 |
| Provider Name | Kartik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649261066 PECOS PAC ID: 1355537911 Enrollment ID: I20101122000289 |
| Provider Name | Periasamy Samikkannu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790776342 PECOS PAC ID: 7719174499 Enrollment ID: I20101209000300 |
| Provider Name | Sharada P Menon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073504353 PECOS PAC ID: 1951581776 Enrollment ID: I20110211000305 |
| Provider Name | Beth A Rulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598133183 PECOS PAC ID: 9638476633 Enrollment ID: I20170517000639 |
| Provider Name | Amy Marie Arp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407401755 PECOS PAC ID: 4789914391 Enrollment ID: I20190925000851 |
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