MEDICARE: DEBRA S SILKES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD063411L	PA
2	208600000X	Surgery Physician	175014	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	103668FL	OTHER	NY	PREFERRED CARE
2	1709681	OTHER	NY	INDEPEND HEALTH
3	9120335	OTHER	NY	PHCS
4	100899	OTHER	NY	GHI LAKE PLAINS
5	005249655	OTHER	NY	BLUE CROSS WNY
6	P010175014	OTHER	NY	BLUE CROSS ROCHESTER
7	00010313703	OTHER	NY	UNIVERA

General Provider Information

NPI Number	:	1184687576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA S SILKES MD

Provider Business Mailing Address
First Line	:	1 MAIN ST
Second Line	:
City	:	WELLSBORO
State	:	PA
Zip	:	16901-1601
Country	:	US
Telephone Number	:	570-723-0716
Fax Number	:	570-723-0638

Provider Business Practice Location Address
First Line	:	1 MAIN ST
Second Line	:
City	:	WELLSBORO
State	:	PA
Zip	:	16901-1601
Country	:	US
Telephone Number	:	570-723-0716
Fax Number	:	570-723-0638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	06/20/2016

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Directions to “ DEBRA S SILKES MD” Practice Location

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