St. Camillus Residential Health Care Facility
A Medicare group practice based in Syracuse, NY: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5890765911), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5890765911
- Provider type
- Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NY
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040727001378 | NY | Part B Supplier - Clinic/Group Practice | 1659396943 |
| O20100210000420 | NY | Part A Provider - Skilled Nursing Facility | 1659396943 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
St. Camillus Residential Health Care Facility
- Skilled Nursing Facility
- Syracuse, NY
- NPI 1659396943
-
St. Camillus Residential Health Care Facility
- Internal Medicine Physician
- Syracuse, NY
- NPI 1215960802
-
St. Camillus Residential Health Care Facility
- Multi-Specialty Clinic/Center
- Syracuse, NY
- NPI 1942341532
Practice locations
- Syracuse, NY2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (3).
-
Michael J Brodowski, M.D.
- Internal Medicine Physician
- East Syracuse, NY
- NPI 1902896012
-
Victor J Croglio, M.D.
- Internal Medicine Physician
- East Syracuse, NY
- NPI 1639169162
-
Donna Ann Gillette, ANP
- Adult Health Nurse Practitioner
- Syracuse, NY
- NPI 1811030828
-
Thomas S Hartzheim, MD
- Surgery Physician
- Syracuse, NY
- NPI 1780635854
-
Martin T Noonan, MD
- Internal Medicine Physician
- Camillus, NY
- NPI 1134235302
-
Sheri Ann Smith, AGNP
- Adult Health Nurse Practitioner
- Syracuse, NY
- NPI 1497236848
-
Albert T Tripodi, MD
- Internal Medicine Physician
- Camillus, NY
- NPI 1871609974
-
Jordan Marcus Wills, DO
- Hospitalist Physician
- Syracuse, NY
- NPI 1407115074
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.