MEDICARE: JOHN WEHRLE 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	207Q00000X	Family Medicine Physician	198146	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080070337	OTHER	NY	RAILROAD MEDICARE
2	080070337	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	010198146	OTHER		RMSCO
4	P010198146	OTHER	NY	BLUE CHOICE
5	BLUE CHOICE	OTHER		P010198146
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	101566BF	OTHER		PREFERRED CARE
8	3480	OTHER		ROCHESTER BLUE SHIELD
9	CFP1981463	OTHER	NY	WORKERS COMPENSATION

General Provider Information

NPI Number	:	1568576593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN WEHRLE MD

Provider Business Mailing Address
First Line	:	1900 WEST WAYNE PLAZA
Second Line	:	ROUTE 31
City	:	MACEDON
State	:	NY
Zip	:	14502
Country	:	US
Telephone Number	:	315-986-1336
Fax Number	:	315-986-7208

Provider Business Practice Location Address
First Line	:	1900 WEST WAYNE PLAZA
Second Line	:	ROUTE 31
City	:	MACEDON
State	:	NY
Zip	:	14502
Country	:	US
Telephone Number	:	315-986-1336
Fax Number	:	315-986-7208

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	05/06/2021

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Directions to “ JOHN WEHRLE MD” Practice Location

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