| Western New York Bloodcare, Inc. | |
|
1010 Main St Ste 300 Buffalo NY 14202-1102 | |
| (716) 896-2470 | |
| (716) 218-4010 |
| Full Name | Western New York Bloodcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 Main St Ste 300, Buffalo, New York |
| Authorized Official Name and Position | Laurel A Reger (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7168962470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western New York Bloodcare, Inc. 1010 Main St Ste 300 Buffalo NY 14202-1102 Ph: (716) 896-2470 | Western New York Bloodcare, Inc. 1010 Main St Ste 300 Buffalo NY 14202-1102 Ph: (716) 896-2470 |
| NPI Number | 1952433757 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 02/05/2020 |
| Medicare PECOS PAC ID | 0547306847 |
|---|---|
| Medicare Enrollment ID | O20090929000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952433757 | NPI | - | NPPES |
| 00011181601 | Other | NY | UNIVERA |
| 00474864 | Medicaid | NY | |
| 000000502000 | Other | NY | BLUE CROSSBLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1401203R (New York) | Primary |
| 3336H0001X | Pharmacy - Home Infusion Therapy Pharmacy | 031796 (New York) | Secondary |
| Provider Name | Steven J Ambrusko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205047461 PECOS PAC ID: 9830287960 Enrollment ID: I20071126000585 |
| Provider Name | Adam S Kotowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992813828 PECOS PAC ID: 3476711136 Enrollment ID: I20120227000365 |
| Provider Name | Dawn M Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679021158 PECOS PAC ID: 0840570115 Enrollment ID: I20161201001968 |
| Provider Name | Beverly A Schaefer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699091272 PECOS PAC ID: 3779867726 Enrollment ID: I20170313000072 |
| Provider Name | Amro Elshoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417398975 PECOS PAC ID: 8729321757 Enrollment ID: I20190515000992 |
| Provider Name | Emily Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538741731 PECOS PAC ID: 7214336163 Enrollment ID: I20210525002634 |
| Provider Name | Andrew R Wurster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821694357 PECOS PAC ID: 9234538026 Enrollment ID: I20210528002246 |
Buffalo Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Genesee St, Buffalo, NY 14211 Phone: 716-895-2200 Fax: 716-895-3300 | |
Jeremiah O Sullivan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2218 Main St, Buffalo, NY 14214 Phone: 716-834-4141 Fax: 716-838-5840 | |
Greater Buffalo United Accountable Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 Niagara St, Buffalo, NY 14201 Phone: 716-882-0366 Fax: 716-830-4840 | |
Buffalo Psychiatric Center Act Team Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Building 51 A Area, Buffalo, NY 14213 Phone: 716-885-2261 | |
Winston G Douglas Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Wehrle Dr, Buffalo, NY 14225 Phone: 716-884-8033 Fax: 716-342-2523 | |
Carewell Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-830-5453 Fax: 716-332-3525 | |
Nutrition With Noelle P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Sheridan Dr, Buffalo, NY 14223 Phone: 716-417-6388 |