Eugene R Pellerin Jr. (NPI# 1659470391, PAC ID# 9638109499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1659470391 |
| PAC ID by PECOS | 9638109499 |
| Professional Enrollment ID | I20050822000430 |
| Full Name | Eugene R Pellerin Jr. |
| Organization Legal Name | SAMARITAN HOSPITAL OF TROY NEW YORK |
| Address |
79 Vandenburgh Ave Troy NY 12180-6024 |
| Phone Number | 5182710063 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6507770070 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330180 | SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6 Medical Park Dr, Malta, NY 12020-5051 | 5182892020 | HEALTHCARE PARTNERS OF SARATOGA LTD |
| 79 Vandenburgh Ave, Troy, NY 12180-6024 | 5182710063 | SAMARITAN HOSPITAL OF TROY NEW YORK |
| Organization Legal Name | SAMARITAN HOSPITAL OF TROY NEW YORK |
| Physicians | 148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Bradt | Nurse Practitioner | Samaritan Hospital of Troy New York | 79 Vandenburgh Ave, Troy, NY 12180-6024 |
| Christina Conigliaro | Nurse Practitioner | Samaritan Hospital of Troy New York | 158 Saratoga Ave, Waterford, NY 12188-2205 |
| Ericka Matzen | Nurse Practitioner | Samaritan Hospital of Troy New York | 2231 Burdett Ave, Suite 110, Troy, NY 12180-2447 |
| Charles M Sulzman | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Steven J Balsamo | Family Medicine | Samaritan Hospital of Troy New York | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 |
| Luke M Nightingale | Family Medicine | Samaritan Hospital of Troy New York | 1111 Hudson Ave, Stillwater, NY 12170-3439 |
| Samuel O Anameze | Internal Medicine | Samaritan Hospital of Troy New York | 2215 Burdett Ave, Troy, NY 12180-2466 |
| Satik Amirbekian | Internal Medicine | Samaritan Hospital of Troy New York | 1 Bell Tower Dr, Watervliet, NY 12189-2333 |
| Vincent A Corcoran | Obstetrics/gynecology | Samaritan Hospital of Troy New York | 2 Empire Dr, Suite 101, Rensselaer, NY 12144-5752 |
| Janet L Alloway | Physician Assistant | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Street Address |
79 VANDENBURGH AVE |
| City | TROY |
| State | NY |
| Zip | 12180-6024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Bradt | Nurse Practitioner | Samaritan Hospital of Troy New York | 79 Vandenburgh Ave, Troy, NY 12180-6024 |
| Jacquelyn Mclean Bennett | Family Medicine | Samaritan Hospital of Troy New York | 79 Vandenburgh Ave, Troy, NY 12180-6024 |
| Mary Grace Jacon | Nurse Practitioner | Samaritan Hospital of Troy New York | 79 Vandenburgh Ave, Troy, NY 12180-6024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Gunther | Orthopedic Surgery | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Mandy Black | Nurse Practitioner | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Jeffrey R Root | Psychologist, Clinical | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Elizabeth Devereux | Nurse Practitioner | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Robert Zaven Dadekian | Rheumatology | 1302 Park Blvd, Troy, NY 12180-1403 | |
| Charles M Sulzman | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Peter R Maggiore | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Kristen A Santos | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Beverley L Krauss | Physician Assistant | Seton Health System, Inc | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Janet L Alloway | Physician Assistant | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Find all physicians in zip 12180 | |||
| City | TROY |
| Zip Code | 12180 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TROY + EMERGENCY MEDICINE |
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| 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.