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TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
NPI 1588649503
Family Medicine in Dansville, NY

Active since December 13, 2005
10869 STATE ROUTE 36, DANSVILLE, NY 14437(585) 335-3416(585) 335-8695 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2025, Nov 3, 2025, Feb 10, 2025 and 2 more (5 updates tracked since 2015).

About Tri-county Family Medicine Program, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-COUNTY FAMILY MEDICINE PROGRAM, INC. (NPI 1588649503) is a healthcare organization registered as a family medicine in Dansville, New York and active in the NPI registry since December 2005. The organization lists Karen A Stone, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588649503
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
Location Address10869 STATE ROUTE 36Dansville, NY 14437-9444
Mailing Address10869 State Route 36Dansville, NY 14437-9444 · (585) 335-3100 · Fax (585) 335-8695
Phone(585) 335-3416
Fax(585) 335-8695
Organization SubpartNo
Authorized OfficialKaren A StoneCeo · (585) 519-1575
Enumeration DateDecember 13, 2005
Last NPPES UpdateJune 16, 20265 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1588649503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 2527200R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10869 STATE ROUTE 36, Dansville, NY 14437
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Other Identifiers 1

Medicaid00355257NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri-county Family Medicine Program, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Tri-County Family Medicine Program, Inc., which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice7
Nurse Practitioner5

Clinicians, nearest first (12)

Erin Douthit, AGNP-C
Nurse Practitioner
NPI 1588391825
60 RED JACKET ST STE 1
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare1.6 mi
Allison Mckeown, DO
Family Practice
NPI 1215592332
60 RED JACKET ST
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare1.6 mi
Ayesha Tasaddaq, MD
Family Practice
NPI 1972831782
60 RED JACKET ST SUITE 1
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare1.6 mi
Colleen Tracy, MD
Family Practice
NPI 1003313206
60 RED JACKET ST STE 1
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare1.6 mi
Geoffrey Wittig, MD
Family Practice
NPI 1962460014
60 RED JACKET ST STE 1
Dansville, NY 14437
(585) 335-6041
✔ PECOS✔ Accepts Medicare1.6 mi
Joseph Depra, MD
Family Practice
NPI 1851379929
200 N MAIN ST
Wayland, NY 14572
(585) 728-5131
✔ PECOS✔ Accepts Medicare6.0 mi
Shelby Gross, FNP-C
Nurse Practitioner
NPI 1376026856
12 N CHURCH ST
Canaseraga, NY 14822
(607) 545-2111
✔ PECOS✔ Accepts Medicare6.4 mi
Bruce Mackellar, MD
Family Practice
NPI 1093769358
12 N CHURCH ST
Canaseraga, NY 14822
(607) 545-2111
✔ PECOS✔ Accepts Medicare6.4 mi
Richard Parker, MD
Family Practice
NPI 1710972013
25 PARK AVENUE
Cohocton, NY 14826
(585) 384-5310
✔ PECOS✔ Accepts Medicare10 mi
Nichole Murphy, NP
Nurse Practitioner
NPI 1366045312
50 E SOUTH ST STE 700
Geneseo, NY 14454
(585) 243-1700
✔ PECOS✔ Accepts Medicare19 mi
Katie Dempsey, FNP-BC
Nurse Practitioner
NPI 1457249997
50 E SOUTH ST STE 700
Geneseo, NY 14454
(585) 243-1700
✔ PECOS✔ Accepts Medicare19 mi
Melinda Tellier, FNP
Nurse Practitioner
NPI 1861706913
50 E SOUTH ST STE 700
Geneseo, NY 14454
(585) 243-1700
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-County Family Medicine Program, Inc.'s NPI number?

The NPI number for Tri-County Family Medicine Program, Inc. is 1588649503. It was assigned to this organization in the NPPES registry on December 13, 2005.

Where is Tri-County Family Medicine Program, Inc. located?

Tri-County Family Medicine Program, Inc. is located at 10869 State Route 36, Dansville, NY 14437. The listed phone number is (585) 335-3416.

What is Tri-County Family Medicine Program, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tri-County Family Medicine Program, Inc. enrolled in Medicare?

Yes. Tri-County Family Medicine Program, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-County Family Medicine Program, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Tri-County Family Medicine Program, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (7) and Nurse Practitioner (5). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tri-County Family Medicine Program, Inc. was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.