Caitlin L Tillack (NPI# 1124588660, PAC ID# 0840532693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124588660 |
| PAC ID by PECOS | 0840532693 |
| Professional Enrollment ID | I20190429000613 |
| Full Name | Caitlin L Tillack |
| Organization Legal Name | WESTERN NEW YORK MEDICAL PRACTICE PC |
| Address |
495 N Main St Canandaigua NY 14424-1283 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3870767791 |
| Number of Group Practice Members | 300 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330074 | F F THOMPSON HOSPITAL |
| 330265 | CLIFTON SPRINGS HOSPITAL AND CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 495 N Main St, Canandaigua, NY 14424-1283 | WESTERN NEW YORK MEDICAL PRACTICE PC | |
| 1425 Portland Ave, Rochester, NY 14621-3001 | 5859223122 | WESTERN NEW YORK MEDICAL PRACTICE PC |
| Organization Legal Name | WESTERN NEW YORK MEDICAL PRACTICE PC |
| Physicians | 172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Rose Sledz | Physician Assistant | Western New York Medical Practice PC | 41 Main St, Oakfield, NY 14125-1014 |
| Meghan E Leusch | Physician Assistant | Western New York Medical Practice PC | 4500 Millennium Dr, Geneseo, NY 14454-1192 |
| Rami El-shaar | Orthopedic Surgery | Western New York Medical Practice PC | 77 Sullys Trl, Pittsford, NY 14534-3754 |
| Daniel Bryan | Dermatology | Western New York Medical Practice PC | 2 Coulter Rd, Clifton Springs, NY 14432-1122 |
| Kristen M Gillotti | Family Medicine | Western New York Medical Practice PC | 470 Long Pond Rd, Rochester, NY 14612-3057 |
| Anees A Fazili | Urology | Western New York Medical Practice PC | 203 Summit St, Batavia, NY 14020-1680 |
| Jennifer Lavanga | Obstetrics/gynecology | Western New York Medical Practice PC | 200 N St, Geneva, NY 14456-1561 |
| Elizabeth A Russo | Nurse Practitioner | Western New York Medical Practice PC | 71 Kendall St, Clifton Springs, NY 14432-9701 |
| Christopher A Brown | Orthopedic Surgery | Western New York Medical Practice PC | 401 S Main St, Canandaigua, NY 14424-2126 |
| Ruth Ellen Hetland | General Surgery | Western New York Medical Practice PC | 2235 Clinton Ave S, Rochester, NY 14618-2623 |
| Street Address |
495 N MAIN ST |
| City | CANANDAIGUA |
| State | NY |
| Zip | 14424-1283 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew C Lake | Chiropractic | Lake's Family Chiropractic PC | 495 N Main St, Kalispell, MT 59901-3903 |
| Trinity Cole Castner | Chiropractic | Lake's Family Chiropractic PC | 495 N Main St, Kalispell, MT 59901-3903 |
| Laurel A Dallmeyer | Family Medicine | Western New York Medical Practice PC | 495 N Main St, Canandaigua, NY 14424-1283 |
| James Patrick Fennelly | Family Medicine | Western New York Medical Practice PC | 495 N Main St, Canandaigua, NY 14424-1283 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Paul Carlino | Clinical Social Worker | 42 Nth Main St, Canandaigua, NY 14424 | |
| Thomas J Durham | Clinical Social Worker | 18 Douglas Dr, Canandaigua, NY 14424-1018 | |
| Theresa Beach | Clinical Social Worker | 527 N Main St, Canandaigua, NY 14424-1021 | |
| Robert C Kaminski | Clinical Social Worker | 527 N Main St, Canandaigua, NY 14424-1021 | |
| Phillip Geoffrey Cary | Maxillofacial Surgery | 500 N Main St, Canandaigua, NY 14424-1022 | |
| Michael B Priestman | Chiropractic | 11 N St, Suite 300, Canandaigua, NY 14424-1047 | |
| Leigh G Lafferty | Nurse Practitioner | Frederick Ferris Thompson Hospital | 23 N St, Suite 5, Canandaigua, NY 14424-1053 |
| Robert L Smith | Family Medicine | Frederick Ferris Thompson Hospital | 23 N St, Suite 5, Canandaigua, NY 14424-1053 |
| Erin Mahoney | Nurse Practitioner | Frederick Ferris Thompson Hospital | 23 N St, Suite 5, Canandaigua, NY 14424-1053 |
| Ryan P Rademacker | Chiropractic | 23 N St, Suite 7, Canandaigua, NY 14424-1053 | |
| Find all physicians in zip 14424 | |||
| City | CANANDAIGUA |
| Zip Code | 14424 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANANDAIGUA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Caitlin L Tillack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.