+ All Categories
Home > Documents > PACE CNY PROVIDER NETWORK€¦ · PACE CNY PROVIDER NETWORK Documents/Provider Relations/Provider...

PACE CNY PROVIDER NETWORK€¦ · PACE CNY PROVIDER NETWORK Documents/Provider Relations/Provider...

Date post: 19-Oct-2020
Category:
Upload: others
View: 1 times
Download: 0 times
Share this document with a friend
50
PACE CNY PROVIDER NETWORK https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019 1 SPECIALITY PROVIDER NAME W/C Access New Patients Languages ACUPUNCTURE 7 TH GENERATION RUI WANG, LLC Yes Yes English Chinese 4000 Medical Center Dr., Suite 209 North East Medical Center Fayetteville, NY 13066 Phone: 315-329-7666 Fax: 315-632-4597 Wang, Rui LAc Licensed Acupuncturist ALLERGY IMMUNOLOGY ALLERGY, ASTHMA, RHEUMATOLOGY ASSOC Yes Yes English 5793 Widewaters Parkway Suite 250 Syracuse, NY 13214 Phone: 478-2339 Sheehan, Michael MD Singh, Harcharan MD ANESTHESIOLOGY AMERICAN ANESTHESIOLOGY OF NEW YORK PC Gaffney, Joseph MD Joseph, Cyriac MD Khan, Rashid MD Mostrom, James MD Santos, Kenneth DO Lubinga, Stanley N/A Yes English 725 Irving Ave, Suite 402 Syracuse, NY 13210 Phone: 315-470-8705 Fax: 315-470-5811
Transcript
  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    1

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    ACUPUNCTURE

    7TH GENERATION RUI WANG, LLC

    Yes Yes English Chinese

    4000 Medical Center Dr., Suite 209 North East Medical Center Fayetteville, NY 13066 Phone: 315-329-7666 Fax: 315-632-4597

    Wang, Rui LAc Licensed Acupuncturist

    ALLERGY IMMUNOLOGY

    ALLERGY, ASTHMA, RHEUMATOLOGY ASSOC

    Yes Yes English

    5793 Widewaters Parkway Suite 250 Syracuse, NY 13214 Phone: 478-2339

    Sheehan, Michael MD Singh, Harcharan MD

    ANESTHESIOLOGY

    AMERICAN ANESTHESIOLOGY OF NEW YORK PC

    Gaffney, Joseph MD Joseph, Cyriac MD Khan, Rashid MD Mostrom, James MD Santos, Kenneth DO Lubinga, Stanley

    N/A Yes English

    725 Irving Ave, Suite 402 Syracuse, NY 13210 Phone: 315-470-8705 Fax: 315-470-5811

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    2

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    AUDIOLOGY SERVICES

    HEARING AID CONSULTANTS OF CNY (formerly Ear Q)

    Keller, Edward RHAD Wood, Tammy RHAD Registered Hearing Aide Dispenser

    Yes Yes English

    1011 W Genesee St Ste 5 Syracuse, NY 13204 Phone: 315-468-1926 Fax: 315-468-2169

    7220 E Genesee St Fayetteville, NY 13066 Phone: 315-446-0055 Fax: 315-446-0077

    MAICO HEARING

    Yes Yes English

    1001 Vine Street Liverpool, NY 13088 Phone: 315-451-7221 Fax: 315-457-1223

    Porter, Catherine RHAD Registered Hearing Aide Dispenser Bagley, Erin Audiologist Thomas, Lisa Audiologist

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    3

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    CARDIOLOGY

    CARDIAC ELECTROPHYSIOLOGY CONSULTANTS LLC The Heart Group of Syracuse

    Hospital Affiliations: Crouse St. Josephs Upstate

    Yes Yes English

    6700 Kirkville Rd, Suite 203 East Syracuse, NY 13057 Phone: 315-277-2707 Fax: 315-277-2707

    Ahmed, Jamal J MD Anghel, Traian MD

    CROUSE MEDICAL PRACTICE, PLLC – CARDIOLOGY

    Hospital Affiliations: Crouse

    Yes Yes English

    739 Irving Ave, Suite 500 Syracuse, NY 13210 Phone: 315-470-7409 Fax: 315-475-2357 5000 Brittonfield Pkwy, B101 East Syracuse, NY 13057 Phone: 315-470-7409 Fax: 315-475-2357 8324 Oswego Rd, Suite C Liverpool, NY 13057 Phone: 315-470-7409 Fax: 315-475-2357

    Ascenzo, Jeffrey MD Bahamonde, Erin NP Battaglia, Joseph MD Berkery, William MD Boahene, Kwabena MD Buckman, Anna NP Chacko, Riya MD George, Anil MD Gorman, Matthew MD Harrison, Joshua MD Joshi, Nikhil MD Longo, James MD Obeid, Ani MD Oltz, Lindsey PA Pietrzak, Jeanne NP Saxton, Sara NP Towles, Maggie NP Ulahannan, Johnathan MBBS Xexemeku, Fafa MD

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    4

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    COMMUNITY CARDIOLOGY Upstate University at Community 5415 West Genesee St Suite 201, Camillus, NY 13031 Phone: 315-214-5788 Fax: 315-314-6416

    Hospital Affiliations: Upstate University at Community Alberti, Martha NP Martinez, Jorge MD

    Yes Yes English

    NEW YORK HEART CENTER CARDIOVASCULAR SPECIALISTS-d/b/a New York Heart Center 6221 Route 31, Suite 112 Cicero, NY 13039 Phone: 315-752-0100 Fax: 315-752-0104

    Hospital Affiliations: St. Josephs Beshara, Mazen MD El-Khally, Ziad MD Fuleihan, Daniel MD Gabris, Michael MD Lozner, Eugene MD Nayeri, Albert MD Zhang, Yi MD Kircher, Barbara MD Khan, Sheryl L PA

    Yes Yes English Spanish

    1000 E Genesee St Syracuse, NY 13210 Phone: 315-471-1044 Fax: 315-474-4312

    Hospital Affiliations: Upstate University at Community

    SJH Cardiac Catheterization Assoc. dba SJH CARDIOLOGY ASSOCIATES 4820 West Taft Rd. Suite 209 Liverpool, NY 13088 315-448-6215 Fax: 234-4417

    Hospital Affiliations: St. Josephs Iqbal, Uzma MD Iskander, Ayman MD

    Ranjbaran-Jahromi, Hooman MD Kazzaz, Nelly MD Grady, Thomas MD Trent, Ross PA

    Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    5

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Jamie Nelson, PA Bowser, Ryan, PA

    St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Cardiovascular Specialists;

    St. Joseph’s Medical PC 4939 Brittonfield Parkway, Suite 202 East Syracuse, NY 13057 315-634-6699

    Amin, Nishith MD Ehrich, Dennis MD Fischi, Michael MD Silverman, Russell MD Al-Mudamgha, Ali Caputo, Ronald Simons, Alan MD Migeed, Magdy M. MD

    COLON & RECTAL SURGERY

    COLON RECTAL ASSOCIATES OF CNY, LLP

    Yes

    Yes

    Halleran, David R MD Moffa, Michael A MD Nesbitt, David A MD Nicholson, John D MD Plocek, Margaret D MD Ziegler, J Alan MD

    North Medical Center 5100 W Taft Rd., Suite 4A Liverpool, NY 13088 Phone: 315-458-2211 Fax: 315-452-9025

    Upstate at Community General Hospital Physician Office Bldg., South, Suite 3F 4900 Broad Rd. Syracuse, NY 13215

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    6

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Phone: 315-492-5860 Fax: 315-492-5135

    CONSUMER DIRECTED PERSONAL ASSISTANCE FISCAL INTERMEDIARIES

    ARISE

    Yes

    Yes

    English

    635 James St Syracuse, NY 13203 Phone: 315-472-3171 Fax: 315-472-9252

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    7

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    ACCESSCNY 1603 Court St Syracuse, NY 13208 Phone: 315-455-7591 Fax: 315-454-4611

    Yes

    Yes

    English

    MAXIM OF NEW YORK

    Yes

    Yes

    English

    1101 West Genesee St., Suite 3 Syracuse, NY 13204 Phone: 315-476-0600 Fax: 315-476-4700

    DAY CENTER SERVICES - MEDICAL

    LORETTO ADULT DAY HEALTH CARE

    Yes Yes English

    700 East Brighton Avenue Syracuse, NY 13205 Phone: 315-498-4405

    DAY CENTER SERVICES - PACE

    Yes Yes English

    MCAULIFFE DAY CENTER PACE-CNY

    Yes Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    8

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    115 Creek Circle E. Syracuse, NY 13057 Phone: 315-469-5570 Fax: 315-469-4737

    SALLY COYNE DAY CENTER PACE-CNY

    Yes Yes English

    100 Malta Lane N. Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-452-5739

    VNA HOMECARE ADULT DAY PROGRAM (Social) 1050 W Genesee St Syracuse, NY 13204 Phone: 315-477-9239 Fax: 315-671-5155

    Yes Yes English

    DENTAL

    CATHERINE MCAULIFFE DENTAL

    115 Creek Circle E. Syracuse, NY 13057 Phone: 315-469-5570 Fax: 315-469-4737

    Shivanand, Bharathi DDS Yes Yes English

    SJH HEALTH CTR DENTAL OFFICE Dental Residents under guidance of attending Dentist

    Yes Yes English

    101 Union Ave, Suite 714 Syracuse, NY 13203 Phone: 315-448-5477 Fax: 315-448-6314

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    9

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    STONE DENTAL, PLLC

    5663 E Circle Dr., Suite 600 Cicero, NY 13039 Phone: 315-214-0004 Fax: 315-214-0005

    Aman, Naveed DMD Doctor of Dental Medicine

    Yes Yes English

    DERMATOLOGY

    FARAH DERMATOLOGY

    Yes Yes

    1000 E Genesee St., Suite 601 Syracuse, NY 13210 Phone: 315-422-8331 Fax: 315-422-3129

    Farah, Joyce MD Farah, Ramsey MD

    Yes Yes English Arabic French

    Housel Dermatology 7293 Buckley Road Suite 102 North Syracuse, NY 13212 Phone: 315-452-3376

    Housel, Joseph MD Johnson, Elizabeth PA

    Yes Yes English

    DURABLE MEDICAL EQUIPMENT/SUPPLIES

    FRANCISCAN HEALTH SUPPORT SERVICES, LLC

    N/A Yes English

    333 Butternut Dr., Suite 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-8640

    PACE CNY

    N/A Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    10

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    100 Malta Lane N Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-452-5739

    EMERGENCY SERVICES

    ST JOSEPH'S HOSPITAL HEALTH CENTER

    Yes Yes English

    301 Prospect Ave Syracuse, NY 13203 Phone: 315-448-5111

    CROUSE HOSPITAL Yes Yes English

    736 Irving Ave Syracuse, NY 13210 Phone: 315-448-5111

    ENDOCRINOLOGY

    MARYA GENDZIELEWSKI, MD

    104 Union Ave, Suite 801 Syracuse, NY 13203 Phone: 315-422-4983 Fax: 315-422-8072

    Gendzielewski, Marya MD Yes Yes English

    Geeta Sangani, MD 308 W. Seneca Street Manlius, NY 13104 Phone: 315-469-3373 Fax: 315-682-2150

    Sangani, Geeta MD Yes Yes English

    GASTROENTEROLOGY

    ASSOCIATED GASTROENTEROLOGYISTS OF CNY

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    11

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    4939 Brittonfield Pkwy, Suite 209 E Syracuse, NY 13057 Phone: 315-218-0085 Fax: 315-218-0087

    Alder, Kathryn, NP Bailey, Margaret, MD Edison, Scott A MD Granato, Christine MD Hawthorne, Lisa NP Koh, Theodore MD Lee, Thomas C MD Nizam, Rayees MD North, Kelly PA Sun, John DO Taeler, Emily NP Xu, Qun NP

    Yes Yes English

    4309 Medical Center Dr Fayetteville, NY 13066 Phone: 315-329-7300 Fax: 315-329-7308

    5112 W Taft Rd, Suite 2U Liverpool, NY 13088 Phone: 315-452-2214 Fax: 315-452-2217

    260 Township Blvd, Suite 20 Camillus NY, 13031 Phone: 315-708-0190 Fax: 315-488-2031

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    12

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    GASTROENTEROLOGY & HEPATOLOGY OF CNY

    5700 W Genesee St Suite 211 N Camillus, NY 13031 Phone: 315-488-6800 Fax: 315-488-3177

    Buniak, Borys MD Curreri, Carol NP Diliberto, Judy PA Epstein, Robert MD Laing, Aran MD Lee, Young MD Gosselin, Sara MD Romano, Matthew MD Romano, Thomas MD Gleason-Desimone, Sarah NP Gaulke, Carolyn NP Romano, Thomas MD

    Yes Yes

    5000 Brittonfield Pkwy Suite A120 E. Syracuse, NY 13057 Phone: 315-452-3235 Fax: 315-452-5726

    5112 W Taft Rd, Suite H, Entrance D Liverpool, NY 13088 Phone: 315-452-3235 Fax: 315-452-5726

    English Ukrainian Russian

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    13

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    GERIATRICIANS

    UNIVERSITY GERIATRICIANS-Waiver Program

    Brangman, Sharon A. MD Berg, Andrea I. MD Bishop, Jeanne E. MD

    Yes Yes

    550 Harrison Street Suite A Syracuse, NY 13202 Phone: 315-464-6167 Fax: 315-464-5771

    GYNECOLOGY

    COMPREHENSIVE GYNECOLOGY Adelson, Mark D MD Olson, Dina PA

    Yes Yes English

    770 James Street Suite 100B Syracuse, NY 13203 Phone: 315-423-4222 Fax: 315-423-0305

    HOMEBOUND MEALS & MEALS ON WHEELS (MOW)

    BALDWINSVILLE MOW

    N/A Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    14

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    76 Canton St Baldwinsville, NY 13027 Phone: 315-638-2171

    ECHO MOW N/A

    Yes

    4600 W Genesee St Syracuse, NY 13219 Phone: 315-487-2878

    NORTH AREA MOW N/A Yes

    413 Church St N Syracuse, NY 13212 Phone: 315-452-1402

    SYRACUSE JEWISH FAMILY SERVICE

    N/A Yes

    4101 E Genesee St Syracuse, NY 13214 Phone: 315-445-0820 Fax: 315-445-0859

    SYRACUSE MOW N/A Yes

    300 Burt St Syracuse, NY 13202 Phone: 315-478-5948 Fax: 315-478-6770

    HOME HEALTH AIDE SERVICE Including Personal Care & Homemaker Services

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    15

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    LORETTO LICENSED AGENCY N/A Yes English

    177 Lawrence Rd E N Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-703-3599

    FRANCISCAN LICENSED AGENCY

    N/A Yes English

    333 Butternut Dr., Suite 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193

    HOSPITAL SERVICES In-hospital, Physician Services, Anesthesiology, Inpatient Psychiatric Care

    ST JOSEPH'S HOSPITAL Yes Yes

    301 Prospect Ave Syracuse, NY 13203 Phone: 315-449-0513 Fax: 315-362-5120

    CROUSE HOSPITAL 725 Irving Ave Syracuse, NY 13210 Phone: 315- 464-6340

    Yes Yes

    INFUSION SERVICES N/A Yes English

    CNY INFUSION SERVICES

    333 Butternut Dr., Suite 102 Dewitt, NY 13214-1981 Phone: 315-424-7027 Fax: 315-424-7638

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    16

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    CRITICAL CARE SYSTEMS OF NEW YORK

    N/A Yes English

    15 Technology Place E Syracuse, NY 13057 Phone: 315-434-1980 Fax: 315-434-1985

    LABORATORY

    CLEARPATH DIAGNOSTICS

    N/A Yes English

    Services provided at Specialist Provider Offices Phone: 315-234-3300 Fax: 315-234-3305

    LABORATORY ALLIANCE of CNY

    N/A Yes English

    Services provided at PACE Day Centers Phone: 315-461-3036 Fax: 315-461-3030

    LANGUAGE & INTERPRETING SERVICES

    EMPIRE INTERPRETING SERVICES 518 James Street Syracuse, NY 13203 Phone: 315-472-1383 Fax: 315-472-8032

    Yes Yes English Albanian Arabic Azari Bosnian Brazilian Port

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    17

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Burmese Cambodian Cantonese Chinese Creole Croatian Czech Dari Dinka Farsi French German Guzari Haitian Creole Hebrew Hindi Indian Iranian Japanese Katchi Khmer Kirundi Laotian (Lao) Lebanese Luo Macedonian Mandarin Mauritian Nepali Polish Portuguese Punjabi Pushto/Pashto Romanian Russian Serbian SerboCroatian Sign Language Sindhi Spanish Thai

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    18

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Tosk Turkish Urdu Ukrainian Vietnamese

    MENTAL HEALTH SERVICES

    ROGER G LEVINE, MD Yes Yes English

    4914 W Seneca Tnpk Syracuse, NY 13215 Phone: 315-469-2827 Fax: 888-224-8297

    Levine, Roger G MD Tarallo, Hannah NP

    MARK MATLOFF, PhD 409 Standish Dr Syracuse, NY 13224 Phone: 315-446-3101

    Matloff, Mark PhD Doctorate in Psychology

    Yes Yes English

    LEONARD R PHILLIPS, LCSW 36 Reed St Marcellus, NY 13108 Phone: 315-289-7689 Fax: 315-673-0840

    Phillips, Leonard R LCSW Lic. Clinical Social Worker

    Yes Yes English

    NEAL QUARTIER, PhD 249 E Onondaga St, Suite 420 Syracuse, NY 13202 Phone: 315-345-9073 Fax: 315-474-1045

    Quartier, Neal PhD LCSW Lic. Clinical Social Worker

    Yes Yes English

    ST JOSEPH'S HOSPITAL HEALTH CENTER

    Yes Yes English

    301 Prospect Ave Syracuse, NY 13203 Phone: 315-422-6548

    MENTAL HEALTH SERVICES (cont’d)

    LIBERTY RESOURCES BROWNELL CENTER FOR BEHAVIORAL HEALTH

    Yes Yes English

    Spanish Russian

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    19

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    1045 James St Syracuse, NY 13203 Phone: 315-472-4471 Fax: 315-472-1759 Credentialing Abbreviations: LCSW: Lic. Clinical Social Worker LMFT: Lic. Marriage & Family Therapist LMHC: Lic. Mental Health Counselor MD: Medical Doctor NP: Nurse Practitioner PhD: Doctorate of Psychology LIBERTY RESOURCES BROWNELL CENTER FOR BEHAVIORAL HEALTH (cont’d)

    Agama, Efrain LMFT Alberts, Kate LMHC

    Barnes, JoAnne LMSW

    Burnside, Scott NP Carr, Darlene LMSW

    Clifford, Alicia LMSW Feldman, Robert LMHC/PhD

    Fryar, Khira LMSW

    Gaspe, Alyssa LMSW Gehrig, Madeline LMHC

    Golden, Rachel LMHC

    Gordon, Natalie LMFT Henderson, Heather NP Hopkins, Geoffrey MD

    Hueber, Anthony LMSW Johnstone, Erin LMHC Kamps, Celia LCSW-R/PhD Kang, David MD Kelly, Megan LMHC

    Liu, Haizhu MD Malaney, Meaghan LMFT Miller, Margaret LMSW Misiaszek, Catherine LMHC

    Murphy, Karrigan LMFT Nestrenko, Marina MD

    Piorkowski, Leah LMHC Platt, Kristin LMSW

    Rogalia, Elizabeth LMSW Sadek, Marianne LMSW

    Simmons, Caitlin LMSW

    Snyder, Susan LMFT/PhD Stashkiv, Taras LMHC

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    20

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Williams, Hope LMSW

    PSYCHOLOGICAL HEALTHCARE, PLLC

    3300 James Street, Suite 101 Syracuse, NY 13206-2325 (315) 656-6871

    Kathleen Cerro—LCSW

    Yes Yes English

    601 E. Genesee St, Suite 200 Syracuse, NY 13202 (315) 671-0717

    Denise Frampton – Pearsall – LCSW Annette King – LCSW Joel Richman—PhD

    Yes Yes English

    890 Seventh North St, Suite 200 Liverpool, NY 13088-6558

    Joyce Becker – LCSW

    Fay Meling – LCSW Joan Meyers – LCSW Susan Fabian – LCSW Madge Flynn - LCSWR

    Yes Yes English

    NEPHROLOGY

    English

    NEPHROLOGY ASSOCIATES OF SYRACUSE, PC

    Azar, Antoine MD Chaffin , Matthew G MD Mangat, Smardeep MD Murthy, Bala MD Oguntola, Adebowale MD Ondocin, Philip MD

    Yes Yes English

    1304 Buckley Rd, Suite 200 N Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211

    Medical Center West 5700 West Genesee Street

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    21

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Suite 201 Camillus, NY 13031 Phone: 315-478-3311 Fax: 315-476-5211

    Northeast Medical Center 4000 Medical Center Drive Suite 214 Fayetteville, NY 13066 Phone: 315-478-3311 Fax: 315-476-5211

    NEPHROLOGY HYPERTENSION ASSOCIATES OF CNY, PC

    Yes Yes English Hindi Spanish

    5700 W Genesee St, Suite 105 Camillus, NY 13031 Phone: 315-701-3072 Fax: 315-410-6410

    Camillus Gupta, Salil MD

    6846 Buckley Rd N Syracuse, NY 13212 Phone: 315-410-6400 Fax: 315-410-6410

    N Syracuse Rao, Pawan MD

    NURSING SERVICES SKILLED IN HOME

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    22

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    LORETTO LICENSED AGENCY

    N/A Yes

    177 Lawrence Rd E N Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-703-3599

    FRANCISCAN LICENSED AGENCY N/A Yes

    333 Butternut Dr, Suite 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193

    NEUROLOGY

    CROUSE MEDICAL PRACTICE – NEUROLOGY 739 Irving Avenue, Suite 340 Syracuse, NY 13210 Phone: 315-470-7747

    Malak, Sami Abdul MD Gupta, Vikas MD Jorgensen, Tabatha PA Maloney, Colin PA

    Yes Yes Arabic French Spanish English Chinese

    NEUROLOGICAL SURGERY

    NEUROSURGICAL ASSOCIATES OF CNY LLP –d/b/a Upstate Brain & Spine

    Canal, Gabriella PA Chin, Lawrence MD Hall, Walter MD Krishnamurthy, Satish MD Tovarspinoza, Zulma MD Karsten, Denise, Chiropractic-Primary Spine Specialist

    Yes Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    23

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    725 Irving Ave, Suite 503 Syracuse, NY 13210 Phone: 315-464-4470 Fax: 315-464-5520

    104 Union Ave, Suite 908 Syracuse, NY 13203 Phone: 315-422-1742 Fax: 315-425-0854

    CNY NEUROLOGICAL CONSULTING, PLLC

    Flaherty-Thompson, Darren NP Sadowitz, Benjamin MD Shukri, Hassan MD Soto, Rose NP

    Yes Yes English

    5000 Brittonfield Pkwy, Suite A116 E Syracuse, NY 13057 Phone: 315-634-5550 Fax: 315-634-5553

    NABIL AZIZ, MD Aziz, Nabil MD Yes Yes Englsh

    5100 W Taft Rd., Suite 3R Liverpool, NY 13088 Phone: 315-452-2240 Fax: 315-452-2237

    HEMATOLOGY-ONCOLOGY ASSOC OF CNY, PC

    Agheli, Aref MD Alpert, Tracy MD Cobb, Alexandria PA- Bingham, Daniel M MD Breckenridge, Kristina PA Burke, Samantha NP Capria, Elsa M.L. NP Cherny, Richard T MD Chin, Shing MD Colosimo, Autumn NP Conboy, Kimberly L. NP

    Yes Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    24

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Coughlin, Alexis B NP Himpler, Benjamin S MD Kirschner, Jeffrey J MD Kligerman, Olga DO Kotlove, Dennis MD Kumar, Santosh MD Leubner, Jenna, NP Loper, Bridget M NP Malone, Emily NP McNally, Lauren NP Meritz, Keith A MD Morbidini-Gaffney MD Morris, Gloria MD Niver, Kristen PA Noble, Nicole NP Pasniciuc, Silviu MD Pichoske, Jennifer Pudusseri, Anita DO Rao, Archana C MD Rayder, Alicia NP Richards, Troy A MD Roman, Angelie D MD Scalzo, Anthony MD Sitnik, Margaret, NP Sousou, Tarek MD Vicks, Kristen NP Wong, Benny M MD Butler, James T, NP Mastropietro, Jennifer, NP Walter, Jessica L. PA Weiler, Kristen, NP Wyluda, Edward, MD Rhodes-Boise,Marina PA

    5008 Brittonfield Pkwy, Suite 700 E Syracuse, NY 13057 Phone: 315-472-7504 Fax: 315-479-8639

    English

    Upstate at Community General Hospital 4900 Broad Rd

    English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    25

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Syracuse, NY 13215 Phone: 315-472-7504 Fax: 315-479-8639

    English

    Upstate at Community General Hospital 4900 Broad Rd Syracuse, NY 13215 Phone: 315-472-7504 Fax: 315-479-8639

    OPHTHALMOLOGY

    CATARACT & EYE SPECIALISTS –

    Abboud, Elias OD Woodcock Jr., Leslie MD

    Yes Yes English

    1304 Buckley Rd Suite 205 Syracuse, NY 13212 Phone: 315-458-2020 Fax: 315-458-6522

    CNY Eye Center 5100 West Taft Rd, Suite 3L Liverpool, NY 13088 Phone: 315-452-2211

    Yes Yes English

    Specialty Surgery Center- The Outpatient Surgery Center 225 Greenfield Parkway 105 Liverpool, NY 13088

    CNY EYE CARE Yes Yes English

    5109 W Genesee St, Suite 102 Camillus, NY 13031 Phone: 315-487-3937 Fax: 315-488-3563

    Sveen, John MD Shiomos, Christopher OD Weisenthal, Robert MD Wang, Xiaofei MD

    5770 Commons Park Dr Dewitt, NY 13214

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    26

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Phone: 315-445-1577 Fax: 315-445-4862

    5000 Brittonfield Pkwy, Suite A102 East Syracuse, NY 13057 Phone: 315-432-0555 Fax: 315-445-4862

    CNY RETINAL ASSOCIATES 1101 Erie Blvd E, Suite 210 Syracuse, NY 13210 Phone: 315-218-7591 Fax: 315-218-7620

    Mango, Charles A MD

    Yes Yes English

    DRUGER EYE CARE 5633 W. Genesee St Camillus, NY 13031 Phone: 315-488-1601 Fax: 315-488-0047

    Druger, Robert K MD Wallen, Maureen OD

    Yes Yes English

    EYE ASSOCIATES OF CNY 2215 E Genesee St Syracuse, NY 13210 Phone: 315-472-5329 Fax: 315472-3211

    Geiss II, Michael MD Geiss III, Michael MD Taggart, Tina MD

    Yes Yes Engilsh

    EYE CONSULTANTS OF SYRACUSE 5792 Widewaters Plaza Syracuse, NY 13214 Phone: 315-422-4412 Fax: 315-422-4690

    Bushinger, Scott OD DeVincentis III, Anthony F MD Dingman, Diane OD Heater, Samanatha OD Kanter, Allan MD Moore, Michael MD Spitzer, Stephen MD (Glaucoma Specialty) – Liegel, Katharine MD Jackowski, Mary MD- rents a space from the office of Eye Consultants. She is not part of their group. She specializes in low vision.

    Yes Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    27

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    EYE SURGEONS OF CNY Ashlaw, Chelsea MD Dexter, Justin MD Stewart, Lawrence MD

    Yes Yes English Italian Spanish

    5100 W Taft Rd, Suite 4M Liverpool, NY 13088 Phone: 315-362-3937 Fax: 315-458-7818

    English

    RETINA-VITREOUS Surgeons of CNY

    Yes Yes English

    200 Greenfield Parkway Liverpool, NY 13088 Phone: 315-445-8166 Fax: 315-445-2697

    Brown, Jamin S MD Hampton, Robert G MD Rosenburg, Kevin MD Rutledge, Bryan K, MD Seth, Rajeev K, MD Spaulding III, Sam C, MD Oellers, Patrick MD

    SYRACUSE EYE PHYSICIANS LLP 716 James St., Suite 4M Syracuse, NY 13203 Phone: 315-472-4467 Fax: 315-472-0197

    Coli, Arthur P MD Hanig, Carl MD

    Yes Yes English

    ORTHOTICS & PROSTHETICS

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    28

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    ORTHOPEDIC APPLIANCES OF CNY 507 E Fayette St Syracuse, NY 13202 Phone: 315-474-2464 Fax: 315-474-2465

    Hettler, James N CO Ganley, Robert CO VanGorder, Richard CO Certified Orthotist

    Yes Yes English

    HANGER CLINIC: PROSTHETICS & ORTHOTICS 6620 Fly Road, Suite 203 East Syracuse, NY 13057 Phone: 315-492-6608 Fax: 315-492-6159 522 Liberty Street, Suite 1 Syracuse, NY 13204 Phone: 315-472-5200 Fax: 315-472-5211

    Yes Yes English

    REHAB TECHNOLOGIES OF SYRACUSE Erie Medical Plaza, Suite 209 Syracuse, NY 13210 Phone: 315-426-9920 Fax: 315-426-1254

    Yes Yes English

    OTOLARYNGOLOGY EAR-NOSE-THROAT

    ADVANCED ENT PHYSICIANS & SURGEONS OF CNY 5700 W Genesee St., Suite 229 Camillus, NY 13031 Phone: 315-234-9861 Fax: 315-234-9864 Northeast Medical Ctr, Suite 404 4000 Medical Center Dr Fayetteville, NY 13066

    Dubin, Stephen MD Gordon, David MD Krieger, Lawrence MD Museums, Rhonda NP Sall, Edward MD

    Yes Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    29

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Phone: 315-671-8796 Fax: 315-637-3694

    OPTOMETRY AND GLASSES

    VISION WORKS d/b/a Empire Vision

    Yes Yes English

    125 Lawrence Rd N Syracuse, NY 13212 Phone: 315-455-5500 Fax: 315-455-8619

    N Syracuse Catunto, Desiderio OD Wolfe, James OD

    125 Shop City Plaza Syracuse, NY 13206 Phone: 315-463-7700 Fax: 315-463-2938

    Shop City Gordon, Ross OD

    2921 Erie Blvd E Syracuse, NY 13224 Phone: 315-446-5120 Fax: 315-446-5177

    Syracuse Kaplan, Steven OD

    4109 W. Genesee St. Suite 100 Syracuse, NY 13219

    English

    6859 E. Genesee St. Fayetteville, NY 13066

    MCAULIFFE HEALTH CENTER

    115 Creek Circle E. Syracuse, NY 13057 Phone: 315-413-3257 Fax: 315-469-4737

    Cutre, Carolyn OD Yes Yes English

    PAIN MANAGEMENT

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    30

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    NEW YORK SPINE & WELLNESS CENTER

    Alcuri, Raymond MD Calkins, Anne MD Catania, Joseph A MD Davis, Rina C MD El Bayadi, Sherif G MD Lok, Jason MD McGinn, Brendan MD Tallarico, Eric A MD Tiso, Robert L MD Trusilo, Mary MD

    Yes Yes English

    5496 East Taft Rd N Syracuse, NY 13212 Phone: 315-552-6700 Fax: 315-552-6768

    Alcuri, Raymond MD Calkins, Anne MD Catania, Joseph A MD Davis, Rina C MD El Bayadi, Sherif G MD Lok, Jason MD McGinn, Brendan MD Tallarico, Eric A MD Tiso, Robert L MD Trusilo, Mary MD

    5719 Widewaters Pkwy Syracuse, NY 13214 Phone: 315-703-3480 Fax: 315-703-3481

    Alcuri, Raymond MD Calkins, Anne MD Catania, Joseph A MD Davis, Rina C MD El Bayadi, Sherif G MD Lok, Jason MD McGinn, Brendan MD Tallarico, Eric A MD Tiso, Robert L MD Trusilo, Mary MD

    5417 West Genesee St, Suite 1 Camillus, NY 13031 Phone: 315-432-4900

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    31

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    PATHOLOGY

    CROUSE HOSPITAL PATHOLOGY

    736 Irving Ave Syracuse, NY 13210 Phone: 315-470-7396 Fax: 315-470-2806

    N/A Yes

    CLEARPATH DIAGNOSTICS CYTOLOGY OUTREACH PLLC

    600 E Genesee St, Suite 305 Syracuse, NY 13202 Phone: 315-234-3300 Fax: 315-234-3305

    N/A Yes

    ST JOSEPH'S HOSPITAL PATHOLOGY

    301 Prospect Ave Syracuse, NY 13203 Phone: 315-434-9309 Fax: 315-454-0136

    N/A Yes

    PERSONAL EMERGENCY RESPONSE SYSTEM (PERS)

    FHS SERVICES, INC.

    Yes Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    32

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    333 Butternut Dr., Suite 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193

    MEDSCOPE AMERICA CORPORATION

    259 E Lancaster Ave., Suite 101 Wynnewood, PA 19096 Phone: 800-645-2060 Fax: 610-896-7233

    N/A Yes English

    PHARMACY

    KINNEY DRUGS Delivered to PACE Centers/Homes

    OMNICARE (NCS) Delivered to Loretto SNF/Respite Care

    N/A Yes English

    PLASTIC SURGERY

    PLASTIC & RECONSTRUCTIVE SURGERY Phone: 446-8313

    Branson, Denis MD

    Yes Yes English

    PODIATRY

    MELISSA COHEN DPM

    7750 Frontage Rd Cicero, NY 13039 Phone: 315-452-1676 Fax: 315-452-4567

    Cohen, Melissa DPM Yes Yes English

    MICHAEL COUCH DPM

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    33

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    1024 Court St Syracuse, NY 13208 Phone: 315-422-7274 Fax: 315-634-6978

    Couch, Michael DPM Yes Sisters of Saint Francis ONLY

    English

    RONALD D'AMICO DPM Yes Yes English

    7593 Morgan Rd Liverpool, NY 13090 Phone: 315-457-2021 Fax: 315-457-2071

    D'Amico, Ronald DPM

    Yes

    FOOT SPECIALISTS OF CNY 5900 N Burdick St, Suite 104 E Syracuse, NY 13057 Phone: 315-656-2216 Fax: 315-656-2454

    Naas, Joseph DPM Saponara, Gerard DPM

    Yes Yes English

    S Crouse Commons, Suite 304 315 S Crouse Ave Syracuse, NY 13210 Phone: 315-476-7471 Fax: 315-476-1830

    MCAULIFFE HEALTH CENTER

    115 Creek Circle E. Syracuse, NY 13057 Phone: 315-413-3257 Fax: 315-469-4737

    Dickson, Douglas DPM

    Yes Yes English

    PRIMARY CARE-COMMUNITY BASED

    UNIVERSITY GERIATRICIANS-Waiver Program

    Brangman, Sharon A. MD Berg, Andrea I. MD Bishop, Jeanne E. MD

    Yes Yes

    550 Harrison Street Suite A Syracuse, NY 13202 Phone: 315-464-6167

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    34

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Fax: 315-464-5771

    Dr. David T. Page, MD-Family Care Medical Group

    436 Hinsdale Rd Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955

    Dr. David T. Page, MD

    YES YES English

    Dr. Dennis Daly, MD-Family Care Medical Group 5700 W. Genesee Street Camillus, NY 13031 Phone: 315-487-1573

    Dr. Dennis Daly, MD YES YES English

    Dr. Suzanne Lamanna, DO 792 North Main Street North Syracuse, NY 13212

    Dr. Suzanne Lamanna, DO

    Yes Yes English

    PSYCHIATRY / PSYCHOLOGY See MENTAL HEALTH

    PULMONOLOGY

    PULMONARY HEALTH PHYSICIANS 7250 Janus Park Dr Liverpool, NY 13088 Phone: 315-475-8402 Fax: 315-475-4778 546 Towne Dr. Fayetteville, NY 13066 Phone: 234-0800

    Liverpool Office: Aiello, Brianne MD Aiello, Thomas R MD Downing, Edward T MD El Bayadi, Sherif G MD Flintrop, Michael J MD Sun, Xiwu (John) MD Fayetteville Office: Downing, Edward T MD El Bayadi, Sherif G MD Flintrop, Michael J MD Sun, Xiwu (John) MD

    Yes Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    35

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Medical Center West 5700 West Genesee St Suite 225 Camillus, NY 13031 Phone: 475-8401 Fax: 475-0824

    Medical Center West: Aiello, Brianne MD Aiello, Thomas R MD Flintrop, Michael J MD

    CROUSE LUNG PARTNERS RT SERVICES

    Various Respiratory Therapists from Crouse Hospital will be working part time hours at both clinics

    RADIOLOGY

    CROUSE RADIOLOGY ASSOCIATES LLP

    736 Irving Ave Syracuse, NY 13210 Phone: 315-470-7551 Fax: 315-470-7002

    Yes Yes English

    K & A RADIOLOGIC TECHNOLOGY SERVICES

    Services provided at PACE Day Centers and Participant's Home(s) Phone: 315-437-1622 Fax: 315-437-3190

    N/A Yes English

    MEDICAL IMAGING CENTER (owned by Crouse Radiology Associates)

    5008 Brittonfield Pkwy., Suite 100 E Syracuse, NY 13057 Phone: 315-470-7551 Fax: 315-470-2719

    Yes Yes English

    ST JOSEPH'S IMAGING

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    36

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    8280 Willett Pkwy Baldwinsville, NY 13027 Phone: 315-635-6814 Fax: 315-635-6816

    Yes Yes English

    5700 W Genesee St Camillus, NY 13031 Phone: 315-631-6555 Fax: 315-631-6559

    4109 Medical Center Dr Fayetteville, NY 13066 Phone: 315-329-7555 Fax: 315-329-7559

    5100 W Taft Rd Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559

    104 Union Avenue Suite 905 Syracuse, NY 13203 Phone: 315-703-5116 Fax: 315-703-5014

    109 Pine Street Syracuse, NY 13210 Phone: 315-475-1669 Fax: 315-475-518

    PROSPECT HILL RADIOLOGY GROUP

    5100 W Taft Rd Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559

    Yes Yes English

    301 Prospect Ave Syracuse, NY 13203 Phone: 315-434-9307 Fax: 315-434-9317

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    37

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    REHABILITATION THERAPIES Physical & Occupational

    BRITTONFIELD PHYSICAL THERAPY & AQUATIC THERAPY 4949 Brittonfield Parkway Building B, Suite 103 East Syracuse, NY 13057 Phone: 234-7322

    Yes Yes English

    LORETTO GERATIC LICENSED AGENCY

    Services provided at Participant's Home(s)

    N/A Yes English

    PACE CNY

    Services provided at PACE Day Centers

    Yes Yes English

    PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK

    Services provided at The Villa

    RESPIRATORY THERAPIES See Pulmonary

    RESPITE

    BERNARDINE

    417 Churchill Ave Syracuse, NY 13205

    Yes Yes

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    38

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Phone: 315-378-0359 Fax: 315-469-4048 HERITAGE

    750 E Brighton Ave Syracuse, NY 13205 Phone: 315-492-1329 Fax: 315-492-6076

    Yes Yes

    LORETTO HEALTH & REHAB

    700 E Brighton Ave Syracuse, NY 13205 Phone: 315-469-5570 Fax: 315-469-4737

    Yes Yes

    RHEUMATOLOGY

    ARTHRITIS HEALTH ASSOCIATES

    5794 Widewaters Parkway Syracuse, NY 13214 Phone: 315-422-1513 Fax: 315-476-5950

    Abdulky, Mary MD Hyla, James F MD Khairallah, Ramzi MD Machovec, Heather PA Mcilvain, Lynne PA Modjinou, Dogi Mtanos, George MD Riccardi, Patrick MD Rybinski, Jane Spink-Palmieri, Sheri PA Slavech, Jeff PA

    Yes Yes English

    SKILLED NURSING FACILITY

    LORETTO HEALTH & REHAB Yes Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    39

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    700 E Brighton Ave Syracuse, NY 13205 Phone: 315-469-5570 Fax: 315-469-4737

    VAN DUYN HOME & HOSPITAL Yes Yes English

    5075 W Seneca Tnpk Syracuse, NY 13215 Phone: 315-435-7884 Fax: 315-435-5520

    SPEECH THERAPY FRANCISCAN HEALTH SUPPORT English English Yes

    333 Butternut Dr., Suite 100 Dewitt, NY 13214 Phone: 315-458-3600 Fax: 315-458-1193

    Farsaci, Amy SLP Speech Language Pathologist Leclair, Amy SLP Speech Language Pathologist

    SUBSTANCE ABUSE

    CROUSE CHEMICAL DEPENDENCY SERVICES (OUTPATIENT)

    Yes Yes English

    410 S Crouse Ave, Suite 3 Syracuse, NY 13210 Phone: 315-470-8304 Fax: 315-470-8378

    CROUSE CHEMICAL DEPENDENCY SERVICES (INPATIENT)

    Yes Yes English

    Commonwealth Place 6010 E Molloy Rd Syracuse, NY 13211 Phone: 315-434-2470 Toll Free: 800-727-6873

    CROUSE CHEMICAL DEPENDENCY SERVICES (INPATIENT )

    Yes Yes English

    Crouse Hospital 736 Irving Ave

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    40

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Syracuse, NY 13210 Phone: 315-470-8401

    ST JOSEPH'S HOSPITAL OUTPATIENT

    Yes Yes English

    301 Prospect Ave Syracuse, NY 13203 Phone: 315-448-5111

    SURGERY - GENERAL

    CNY SURGICAL PHYSICIANS PC

    Yes Yes English

    739 Irving Ave., Suite 450 Syracuse, NY 13210 Phone: 315-470-7364 Fax: 315-470-7495

    Ahmed, Akbar MD Anderson, Brian P MD Congelli, Tammy J MD Cooper, Kenneth A DO DeSimone, Jeffrey M MD Hartzheim, Thomas S MD Leary, Brandie NP Mendel, Herbert E MD Sadowitz, Benjamin MD Sartori, James MD Schu, William E MD Tyler, David B MD Walker, Tracy NP

    St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Surgical Services

    Dentes, Evan MD Silvakuman, Balasurbramanian “Kumar” MD Oliva, Anthony MD Kort, Kara MD Maini, Atul MD Stevens, Carol MD Webb, Travis MD

    4117 Medical Center Drive, Suite 117 Fayetteville, NY 13066 315-634-3399

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    41

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    5100 W. Taft Road, Suite 2E Liverpool, NY 13088 315-634-3399

    SURGERY – GENERAL (con’t) Surgery Centers

    NORTH SURGERY CENTER (St. Joseph’s)

    5100 W. TAFT RD. LIVERPOOL, NY, 13088 Phone: 315-703-5400 Fax: 315-744-1997

    NORTHEAST SURGERY CENTER (St. Joseph’s)

    4208 MEDICAL CENTER DR FAYETTEVILLE, NY 13066-6642 Phone: 315-329-2500 Fax: 315-744-1944

    SPECIALTY SURGERY CENTER OF CNY

    Yes Yes English

    225 Greenfield Pkwy, Suite 105 Liverpool, NY 13088 Phone: 315-451-6911 Fax: 315-451-1540

    SURGICAL CARE WEST Yes Yes English

    5700 W Genesee St., Suite 201N Camillus, NY 13031 Phone: 315-488-5588 Fax: 315-488-2489

    Neulander, Ovid MD-

    SURGICAL CARE EAST Yes Yes English

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    42

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    250 Township Blvd Suite 10 Camillus, NY 13031 Phone: 315-928-7060 Fax: 315-928-7077

    Resetarits, Dennis MD

    SURGERY - ORAL

    ST JOSEPH'S HOSPITAL DENTAL OFFICE

    Yes Yes English

    101 Union Ave, Suite 714 Syracuse, NY 13203 Phone: 315-448-5477 Fax: 315-448-6314

    Dental Residents under guidance of attending Dentist

    SURGICAL ORTHOPEDICS

    DR AUGUST BUERKLE

    Yes Yes English

    5100 W. Taft Rd Suite 2R Liverpool, NY 13088 Phone: 315-457-4400 Fax: 315-457-3400

    Buerkle, August MD Hootnick, David MD

    SYRACUSE ORTHOPEDIC SPECIALISTS PC (S0S)

    Yes Yes English

    French Spanish

    5700 W Genesee St., Suite 225 Camillus, NY 13031 Phone: 315-487-4876 Fax: 315-484-9609

    Camillus Battaglia, Todd C MD Bogosian, Stephen P MD Bome, Michael P PT Cullinan, Melissa PA Doolittle, Terri NP Duggal, Naven MD Lake, Kevin PA Leavitt, Gary MD Newman, P James MD Noble Jr, Edward R MD

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    43

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Orio, Anthony MD Riggs, Cassandra MD Parker, John F MD Smart, L Ryan MD

    4115 Medical Center Dr Fayetteville, NY 13066 Phone: 315-329-7600 Fax: 315-329-7608

    Fayetteville Axelrod, Glenn B MD Fatti, Christopher J MD Greenky, Brett B MD Greenky, Seth S MD Lampert, Mary Anne PA Merluzzi, Jill PA Murphy, Daniel J MD Parker, John F MD Smart, L Ryan MD Van Husen, Mark MD

    SYRACUSE ORTHOPEDIC SPECIALISTS PC (S0S) (con’t) 5496 E Taft Rd, Suite C N Syracuse, NY 13212 Phone: 315-883-5881 Fax: 315-449-9923

    N Syracuse Bianco, Aaron MD Cullinan, Melissa PA DiStefano, Richard MD Duggal, Naven MD Fatti, Christopher J DPM Hanafin, Craig PA Lake, Kevin PA Lampert, Mary Anne PA Lemley, Frederick MD LoVallo, Sean PA Marcinkowski, Amy MD Merluzzi, Jill PA Parmeter, Kristin NP Schielke, Jodie DO VanArnam, Thomas PA Verrette, Kristin PA Wnorowski, Daniel C MD Wulff , Warren E MD

    Airport Business Park 5801 East Taft Rd Syracuse, NY 13212 Phone: 315-418-4140 Fax: 315-928-7797

    Airport Business Park Axelrod, Glenn B MD Dambrosio, Nicholas MD Fedors, Nathan H MD Greenky, Brett B MD

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    44

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Greenky, Seth S MD Hook, Stephanie R DPM Lampert, Mary Anne PA Leverich, Steven James MD Marcinkowski, Amy MD Murphy, Daniel J Jr MD Naim, Farah MD Parker, John F MD Sharma, Aaron MD Sherwood, James W MD Smart, L. Ryan MD Sojewicz, Joseph PA Sullivan, Anne Marie MD Van Husen, Mark MD Viola, Ronald MD Syracuse Ames, Sarah PA Bogosian, Stephen P MD Butler, Melissa NP Clarke, Michael T MD Cullinan, Melissa PA Duggal, Naven MD Everding, Nathan MD Fatti, Christopher J DPM Hook, Stephanie R DPM Keyes, David PA Lemley, Frederick MD Lisick, Daria PA LoVallo, Sean PA Newman, P James MD Sharkey, Janice NP Short, Walter H MD Vella, I Michael MD

    5000 W Seneca Turnpike Syracuse, NY 13215 Phone: 315-492-3636 Fax: 315-492-8787

    Camillus Battaglia, Todd C MD Bogosian, Stephen P MD Bome, Michael P PT Cullinan, Melissa PA Doolittle, Terri NP Duggal, Naven MD

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    45

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Lake, Kevin PA Leavitt, Gary MD Newman, P James MD Noble Jr, Edward R MD Orio, Anthony MD Riggs, Cassandra MD Parker, John F MD Smart, L Ryan MD

    5719 Widewaters Pkwy Dewitt, NY 13214 Phone: 315-251-3100 Fax: 315-251-3272

    Widewaters All Providers Listed Above Including: Balmir, Marvin PA Callahan, Adam PA Coffey, Joseph PA Colaneri, Mark W PA Connor, Benjamin PA Dinh, Khanh PA DiStefano, Richard MD Goff, Linda NP Groat, Lindsay PA Harris, Helen PA Hood, Matthew D PA Izzo, Nicole PA Jennings, Julian PA Jones, Nicole PA Kibby, David A PA Kieb, Steven PA Kopko, Kevin MD LoVallo, Hannah PA Marcinkowski, Amy MD Marshall, Todd A PA Masterson, Bryan PA Munson-Burke, Michael PA Orio, Anthony MD Pflugh, Deborah NP Riggs, Cassandra MD Schielke, Jodie DO Scioscia, Charles F MD Scozzari, Mary Anne PA Sharma, Aaron MD Sherwood,James W MD

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    46

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Smart, Lawson Ryan MD Sojewicz, Joseph PA Van Husen, Mark MD Verrette, Kristin PA Weaver, Brandon PA Wolfenden, Brandon PA

    475 Irving Avenue, Suite 418 Syracuse, NY 13210 Phone: 315-475-3999 Fax: 315-475-4014

    Ambulatory Surgicial Center Raphael, Bradley MD

    8324 Oswego Rd, Suite B Liverpool, NY 13090 Phone: 315-418-4188

    Ames, Sarah A. (PAC) Axelrod, Glenn B (MD) Battaglia, Todd C (MD) Bogosian, Stephen P (MD) Butler, Melissa R (NP-C) Cullinan, Melissa A (PA) Everding, Nathan G. (MD) Fatti, Christopher J. (DPM) Fitzgerald, Michael G. (MD) Greenky, Seth S (MD) Izant, Timothy H (MD) Kopko, Kevin A (MD) Lake, Kevin C. (RPA-C) Lemley, James Alan (MD) Mahon, Lisa Doyle (PA) Newman, P. James (MD) Orio, Anthony MD Parker, John F (MD) Pflugh, Deborah B. (NP) Raphael, Bradley S. (MD) Riccelli, James P (PT) Riggs, Cassandra MD Scozzari, Mary K (RPA-C) VanArnam, Thomas W (PA) Van Husen, Mark MD Weaver, Brandon M (PA) Wnorowski, Daniel C. (MD) Harris, Collin MD

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    47

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    Crouse Neurosciences

    TELEHEALTH

    Yes Yes English

    IMAGINEMIC 2628 South Rd Poughkeepsie, NY 12601 Phone: 845-293-4926 Fax: 845-452-3114

    THORACIC/VASCULAR SURGERY

    VASCULAR SURGEONS OF CNY PLC-joined St. Joseph’s Surgical Services

    Yes Yes English

    104 Union Ave., Suite 1005 Syracuse, NY 13203 Phone: 315-424-0790 Fax: 315-475-0916

    Carlin, Robert MD Kahn, Muhammad A., MD Riley, J Timothy MD Semel, Lawrence MD Zaman, Syed MD

    St. Joseph’s Medical PC d/b/a Cardiac Surgery Division of Vascular, Cardiac & Thoracic

    Nazem, Ahmad MD Green, Randall MD Lutz, Charles MD Zhou, Zhandong

    Yes Yes English

    104 Union Ave, Suite 1005 Syracuse, NY 13203

    St. Joseph’s Medical PC d/b/a St. Joseph’s Physicians Thoracic Surgeons

    Wormuth, David MD Yerkes, Nicholas

    Yes Yes English

    104 Union Ave, Suite 804 Syracuse, NY 13203 P: 315-475-8409

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    48

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    F: 315-703-5097

    NORTH AREA VOLUNTEER AMBULANCE CORPS (NAVAC)

    N/A Yes

    603 N Main Street N Syracuse, NY 13212 Phone: 315-458-7514

    Eastern Paramedics previously RURAL METRO MEDICAL SERVICES – now owned by American Medical Response 488 W Onondaga St Syracuse, NY 13202 Phone: 315-255-1146

    TRANSPORTATION - Non-Emergency

    PACE CNY Center-Sally Coyne 100 Malta Lane N Syracuse, NY 13212 Phone: 315-452-5800 Fax: 315-452-5739 PACE CNY Center-McAuliffe 115 Creek Circle E. Syracuse, NY 13057 Phone: 315-469-5570 Fax: 315-469-4737

    Yes Yes English

    UROLOGY

    UPSTATE UROLOGY INC Yes Yes English Russian French

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    49

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages

    750 E Adams St Syracuse, NY 13210 Phone: 315-464-1500 Fax: 315-464-6103

    Bratslavsky, Gennady MD Khanna, Rakesh MD Makhuli, Zah MD Nikolavsky, Dmitriy MD

    550 Harrison St Syracuse, NY 13202 Phone: 315-464-1500 Fax: 315-464-6103

    Byler, Timothy MD Shapiro, Oleg MD Trussel, J C MD

    4900 Broad Rd., Suite 4V Syracuse, NY 13215 Phone: 315-492-3700 Fax: 315-492-3596

    Bratslavsky, Gennady MD Khanna, Rakesh MD Makhuli, Zah MD Nikolavsky, Dmitriy MD

  • PACE CNY PROVIDER NETWORK

    https://sharepoint.lorettosystem.org/pace/pacestaffsite/Shared Documents/Provider Relations/Provider Network List.docx11/25/2019

    50

    SPECIALITY PROVIDER NAME W/C Access

    New Patients

    Languages


Recommended