Linda B Welles, MD

Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Big Flats, NY

NPI 1326014366 · NPPES record last updated Feb 24, 2012

Key facts

NPI
1326014366
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Medicine (Internal Medicine) Physician 207RG0300X
License
244687 (NY)
Practice address
84 Canal St
Big Flats, NY 14814-8968
Phone
(607) 301-4141
Fax
(607) 301-4140
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
U of R Neurology Department Past
since Oct 29, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 244687 NY Yes

Addresses

Primary practice location

84 Canal St
Big Flats, NY 14814-8968

Mailing address

601 Elmwood Ave
Box 670
Rochester, NY 14642-0001
Phone (607) 301-4141

Other identifiers

IdentifierTypeStateIssuer
02285867MedicaidNY

Other providers in Big Flats, NY

All providers in Big Flats, NY · Geriatric Medicine (Internal Medicine) Physician in New York

Sources for this page

Verify at the official NPI Registry.