Tri-County Family Medicine Program, Inc.
A Medicare group practice based in Dansville, NY: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4183699937), with 21 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4183699937
- Provider type
- DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
- Enrolled in
- NY
- Enrollments
- 9
- Group size
- 18 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 15
Enrollment records 9
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040826000720 | NY | Part B Supplier - Clinic/Group Practice | 1588649503 |
| O20160913001725 | NY | Part A Provider - Federally Qualified Health Center (FQHC) | 1588649503 |
| O20160915001135 | NY | Part A Provider - Federally Qualified Health Center (FQHC) | 1588649503 |
| O20160915001380 | NY | Part A Provider - Federally Qualified Health Center (FQHC) | 1588649503 |
| O20160915000667 | NY | Part A Provider - Federally Qualified Health Center (FQHC) | 1588649503 |
| O20160915001481 | NY | Part A Provider - Federally Qualified Health Center (FQHC) | 1588649503 |
| O20220413001839 | NY | Part A Provider - Federally Qualified Health Center (FQHC) | 1588649503 |
| O20230222001683 | NY | Part B Supplier - Pharmacy | 1245972504 |
| O20230725000029 | NY | DME Supplier - Pharmacy | 1245972504 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Tri-County Family Medicine Program, Inc.
dba Tri-County Pharmacy
- Community/Retail Pharmacy
- Dansville, NY
- NPI 1245972504
-
Tri-County Family Medicine Program, Inc.
- Family Medicine Physician
- Dansville, NY
- NPI 1588649503
-
Tri-County Family Medicine Program, Inc.
- Family Medicine Physician
- Geneseo, NY
- NPI 1134329220
Practice locations
- Dansville, NY5
- Wayland, NY2
- Nunda, NY2
- Geneseo, NY2
- Cohocton, NY2
- Canaseraga, NY2
Clinicians 21
Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (18).
-
Nadine Bailey, MS, PA-C
- Physician Assistant
- Geneseo, NY
- NPI 1952303448
-
Christina Cavallaro, PA-C
- Physician Assistant
- Geneseo, NY
- NPI 1245981489
-
Katie Dempsey, FNP-BC
- Nurse Practitioner
- Geneseo, NY
- NPI 1457249997
-
Joseph Depra, MD
- Family Medicine Physician
- Wayland, NY
- NPI 1851379929
-
Erin Douthit, AGNP-C
- Adult Health Nurse Practitioner
- Dansville, NY
- NPI 1588391825
-
Shelby Gross, FNP-C
- Family Nurse Practitioner
- Canaseraga, NY
- NPI 1376026856
-
Leah Kidder, PA-C
- Physician Assistant
- Cohocton, NY
- NPI 1003338278
-
Bruce Mackellar, MD
- Family Medicine Physician
- Canaseraga, NY
- NPI 1093769358
-
Lauren Marino, RPA-C
- Physician Assistant
- Canaseraga, NY
- NPI 1790964617
-
Jill Matzek, RPA-C
- Physician Assistant
- Dansville, NY
- NPI 1871551937
-
Nichole Rose Murphy, NP
- Adult Health Nurse Practitioner
- Geneseo, NY
- NPI 1366045312
-
Richard Parker Jr., MD
- Family Medicine Physician
- Cohocton, NY
- NPI 1710972013
-
Bridget M Quibell, RPA-C
- Physician Assistant
- Dansville, NY
- NPI 1255318770
-
Sierra Quinlan, PA-C
- Medical Physician Assistant
- Canaseraga, NY
- NPI 1902250004
-
Debra Reifenrath, RPA-C
- Physician Assistant
- Geneseo, NY
- NPI 1164453619
-
Amber Rhow, PA-C
- Physician Assistant
- Dansville, NY
- NPI 1043775513
-
Hannah Saile, PA-C
- Physician Assistant
- Nunda, NY
- NPI 1144898438
-
Ayesha Tasaddaq, MD
- Family Medicine Physician
- Dansville, NY
- NPI 1972831782
-
Melinda Tellier, FNP
- Family Nurse Practitioner
- Geneseo, NY
- NPI 1861706913
-
Colleen Tracy, MD
- Family Medicine Physician
- Dansville, NY
- NPI 1003313206
-
Geoffrey Wittig, MD
- Family Medicine Physician
- Dansville, NY
- NPI 1962460014
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.