Winston G Douglas Md Pc | |
755 Wehrle Dr Buffalo NY 14225-1319 | |
(716) 884-8033 | |
(716) 342-2523 |
Full Name | Winston G Douglas Md Pc |
---|---|
Speciality | Family Medicine |
Location | 755 Wehrle Dr, Buffalo, New York |
Authorized Official Name and Position | Winston G Douglas (OWNER) |
Authorized Official Contact | 7168848033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Winston G Douglas Md Pc 755 Wehrle Dr Buffalo NY 14225-1319 Ph: (716) 884-8033 | Winston G Douglas Md Pc 755 Wehrle Dr Buffalo NY 14225-1319 Ph: (716) 884-8033 |
NPI Number | 1043528409 |
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Provider Enumeration Date | 09/20/2010 |
Last Update Date | 07/19/2023 |
Medicare PECOS PAC ID | 5799967949 |
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Medicare Enrollment ID | O20110309000006 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043528409 | NPI | - | NPPES |
03308216 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Winston G Douglas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548297328 PECOS PAC ID: 6204822554 Enrollment ID: I20040422000181 |
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