| Wyoming County Family Medicine Pc | |
|
5596 Gainesville Road Castile NY 14427 | |
| (585) 793-9230 | |
| Not Available |
| Full Name | Wyoming County Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5596 Gainesville Road, Castile, New York |
| Authorized Official Name and Position | Dale Deahn (OWNER) |
| Authorized Official Contact | 5854925088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming County Family Medicine Pc 400 N Main St Warsaw NY 14569-1025 Ph: (585) 786-8940 | Wyoming County Family Medicine Pc 5596 Gainesville Road Castile NY 14427 Ph: (585) 793-9230 |
| NPI Number | 1417594623 |
|---|---|
| Provider Enumeration Date | 12/06/2019 |
| Last Update Date | 02/08/2022 |
| Medicare PECOS PAC ID | 9537571369 |
|---|---|
| Medicare Enrollment ID | O20201218000880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417594623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Ripple M Marfatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568435261 PECOS PAC ID: 8729050539 Enrollment ID: I20040811001213 |
| Provider Name | Calvin L Schierer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033201959 PECOS PAC ID: 3375622251 Enrollment ID: I20080502000521 |
| Provider Name | Lisa Marie Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659880102 PECOS PAC ID: 0345595062 Enrollment ID: I20180621001045 |
| Provider Name | Jacquelyn Janes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346878295 PECOS PAC ID: 2961826052 Enrollment ID: I20200722001942 |
Marfatia Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5596 Route 19a, Castile, NY 14427 Phone: 585-493-9230 Fax: 585-786-0508 | |
Castile Community Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5596 Route 19a, Castile, NY 14427 Phone: 585-493-2587 Fax: 585-493-5580 |