Elaine Gilmore, MD
Dermatologist in Fairport, NY
Registered providerLicense # listed (NY)Medicare-enrolledAccepts Medicare assignmentTelehealth (Medicare)
Public-record details
- Address
- 6800 Pittsford Palmyra Rd Ste 150, Fairport, NY 14450
- Phone
- (585) 364-1177
- Listed under
- Individual clinicians, Telehealth (Medicare claims)
- NPI
- 1679778666
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- Credentials listed
- MD
- License number on NPI record
- 248998 (NY)
- NPI first issued
- Jun 19, 2007
- Years since NPI first issued
- 19 years (since 2007)
- License state on NPI record
- NY
- NPI record last updated
- Sep 20, 2018
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Telehealth (CMS)
- Medicare claims show telehealth services
- Professional school graduation (CMS)
- 2003 (23 years ago)
- Professional school (CMS)
- University of North Carolina at Chapel Hill School of Medicine
- Medicare group practice (CMS)
- Universal Dermatology, PLLC (3 clinicians)
- Practice locations on file with Medicare (CMS)
- 1
- Other dermatology listings at this street address
- 3
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What these registry facts mean
Practices and clinicians at this address
- Brian Poligone, MD
- Universal Dermatology, PLLC (practice/organization)
- Rochester Skin Lymphoma Medical Group, PLLC (practice/organization)