Mary M Wilsch (NPI# 1013973734, PAC ID# 9830288935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1013973734 |
| PAC ID by PECOS | 9830288935 |
| Professional Enrollment ID | I20071127000553 |
| Full Name | Mary M Wilsch |
| Organization Legal Name | GENESEE VALLEY OBSTETRICS AND GYNECOLOGY PC |
| Address |
21 Willow Pond Way Suite 100 Penfield NY 14526-2687 |
| Phone Number | 5856410399 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1951326719 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330285 | STRONG MEMORIAL HOSPITAL |
| 330125 | ROCHESTER GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 21 Willow Pond Way, Suite 100, Penfield, NY 14526-2687 | 5856410399 | GENESEE VALLEY OBSTETRICS AND GYNECOLOGY PC |
| 990 S Ave, Suite 200, Rochester, NY 14620-2740 | 5852323210 | GENESEE VALLEY OBSTETRICS AND GYNECOLOGY PC |
| Organization Legal Name | GENESEE VALLEY OBSTETRICS AND GYNECOLOGY PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gustave Theodore Ruckert V | Obstetrics/gynecology | Genesee Valley Obstetrics and Gynecology PC | 21 Willow Pond Way, Suite 100, Penfield, NY 14526-2687 |
| James Steven Burkhart | Obstetrics/gynecology | Genesee Valley Obstetrics and Gynecology PC | 21 Willow Pond Way, Suite 100, Penfield, NY 14526-2687 |
| Gustave Theodore Ruckert Iv | Obstetrics/gynecology | Genesee Valley Obstetrics and Gynecology PC | 21 Willow Pond Way, Suite 100, Penfield, NY 14526-2687 |
| Kathleen Robischon | Obstetrics/gynecology | Genesee Valley Obstetrics and Gynecology PC | 990 S Ave, Suite 200, Rochester, NY 14620-2740 |
| Kelly Ann Herron | Obstetrics/gynecology | Genesee Valley Obstetrics and Gynecology PC | 21 Willow Pond Way, Suite 100, Penfield, NY 14526-2687 |
| Street Address |
21 WILLOW POND WAY SUITE 100 |
| City | PENFIELD |
| State | NY |
| Zip | 14526-2687 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gustave Theodore Ruckert V | Obstetrics/gynecology | Genesee Valley Obstetrics and Gynecology PC | 21 Willow Pond Way, Suite 100, Penfield, NY 14526-2687 |
| James Steven Burkhart | Obstetrics/gynecology | Genesee Valley Obstetrics and Gynecology PC | 21 Willow Pond Way, Suite 100, Penfield, NY 14526-2687 |
| Gustave Theodore Ruckert Iv | Obstetrics/gynecology | Genesee Valley Obstetrics and Gynecology PC | 21 Willow Pond Way, Suite 100, Penfield, NY 14526-2687 |
| Kelly Ann Herron | Obstetrics/gynecology | Genesee Valley Obstetrics and Gynecology PC | 21 Willow Pond Way, Suite 100, Penfield, NY 14526-2687 |
| Denise A Asandrov Bondy | Clinical Social Worker | 21 Willow Pond Way, Suite 210, Penfield, NY 14526-2687 | |
| Jared G Teter | Audiologist | Teter Audiology, Hearing Aid Dispensing and Electronics, PC | 21 Willow Pond Way, Penfield, NY 14526-2687 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgia R Staderman | Clinical Social Worker | 792 Liberty St, Penfield, NY 14526-1320 | |
| Karen R Wanamaker | Chiropractic | 2082 Five Mile Line Rd, Penfield, NY 14526-1450 | |
| Justin J Verrone | Optometry | Dr. Verrone and Dr. Peters, O.d., P.C. | 2160 Penfield Rd, Suite 100, Penfield, NY 14526-1712 |
| Stephanie B Lovett-standish | Optometry | Dr. Verrone and Dr. Peters, O.d., P.C. | 2160 Penfield Rd, Suite 100, Penfield, NY 14526-1712 |
| Shruti Pandya | Ophthalmology | Dr. Verrone and Dr. Peters, O.d., P.C. | 2160 Penfield Rd, Suite 100, Penfield, NY 14526-1712 |
| Benjamin P Peters | Optometry | Dr. Verrone and Dr. Peters, O.d., P.C. | 2160 Penfield Rd, Suite 100, Penfield, NY 14526-1712 |
| Nicole C Brescia | Physician Assistant | University of Rochester Urgent Care | 2134 Penfield Rd, Penfield, NY 14526-1736 |
| Matthew D Wolanski | Nurse Practitioner | University of Rochester Urgent Care | 2134 Penfield Rd, Penfield, NY 14526-1736 |
| Andrew K Polla | Physician Assistant | University of Rochester Urgent Care | 2134 Penfield Rd, Penfield, NY 14526-1736 |
| Clinton P Olsen | Physician Assistant | University of Rochester Urgent Care | 2134 Penfield Rd, Penfield, NY 14526-1736 |
| Find all physicians in zip 14526 | |||
| City | PENFIELD |
| Zip Code | 14526 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | PENFIELD + OBSTETRICS/GYNECOLOGY |
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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.