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New York · Video visits statewide
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Care that fits your life
Telehealth care in Buffalo, New York.
Wade’s Care First sees Buffalo patients by secure video for primary care, mental health, ADHD, weight management, urgent care and more. Labs, imaging and prescriptions go to facilities in and around Buffalo.
Telehealth only. No office in Buffalo: you join from wherever you are in New York. Pricing · Insurance Accepted
Services
What Buffalo patients book.
Every service is available statewide by video. Each page explains what can and cannot be handled remotely.
Your ongoing Primary Care ProviderPrimary Care
Acute Care, Routine Care, Preventive Care, and Chronic Care with one provider who knows your history.
Screenings for your age and riskPreventive Care
Screenings, labs and risk checks chosen for your age, history and family history.
Evaluation and treatmentMental Health
Anxiety, depression, panic, PTSD symptoms and more. A full evaluation first, then a plan you help build.
Adults and teensADHD
Evaluation and follow-up for attention, focus and executive-function concerns.
Medication with a plan around itMedical Weight Management
A workup first, then nutrition, lab monitoring and medication when it fits.
Sick visitsUrgent Care
Sinus infections, UTIs, rashes and stomach bugs. Check the scheduler for available appointments, including same-day openings when offered.
Skin concerns by videoDermatology
Acne, eczema, psoriasis, melasma, fungal nails and rashes, evaluated from clear photos and a conversation.
Strains, sprains and flare-upsShort-Term Pain Management
Back and neck pain, sprains, joint flares and headaches over a short course of care.
Hormones, prostate and screeningMen’s Health
ED, testosterone testing, prostate health, PSA and the screenings men tend to skip.
Every stageWomen’s Health
Periods, birth control, perimenopause, menopause and the questions in between.
Ages 5 and upPediatric Care
Video visits for the things that keep a kid home from school.
Older adults and their familiesGeriatric Care
Medication review, chronic conditions and coordination with everyone involved.
Part of your primary careSleep Concerns
Insomnia, snoring, sleep apnea screening and sleep-study coordination.
Pharmacogenomic testingGeneSight® Testing
A cheek swab that adds genetic information to mental-health medication decisions.
Booking & Insurance
Plan your video visit.
Start with the care you need. We’ll guide you through the visit details and available times.
Choose your visit
Select your service and whether you are a new or established patient.
Choose how to pay
Select insurance or self-pay. Review the accepted plans and posted prices before continuing.
Find an available time
Confirm where you will be during the visit and your timezone, then review your appointment details.
More Than a Video Visit
How It Works Your care doesn’t end when the video visit ends.
Wade’s Care First is a full medical practice delivered through telehealth. When it is medically appropriate, we order, prescribe, refer and coordinate the services you would expect from a traditional outpatient practice.
- 1VisitSecure video from your phone or laptop
- 2TestingLabs and imaging ordered near you
- 3ResultsReviewed and explained with you
- 4TreatmentPrescriptions and a plan you helped build
- 5ReferralSpecialists and in-person care when needed
- 6Follow-upContinued care with the same provider
Laboratory testing
Blood work, urine tests, hormone and PSA testing, completed at a lab near you.
Diagnostic imaging
X-rays, ultrasounds, CT scans and MRIs ordered through local imaging centers.
Additional testing
Testing matched to your symptoms, history and plan, including sleep studies when indicated.
Equipment and supplies
Orders for durable medical equipment and supplies when medically necessary.
Specialist referrals
Referrals to cardiology, endocrinology, sleep medicine and more, with your care kept connected.
Prescription management
Prescribing and adjusting medications when clinically appropriate and allowed by law.
Results and follow-up
Every result reviewed with you, explained, and turned into a next step.
GeneSight® Testing
Pharmacogenomic information that may help inform mental-health medication decisions.
Care coordination
Orders and referrals sent to facilities near you, with Wade’s Care First staying involved.
Telehealth when appropriate. In-person services when needed. Coordinated care throughout.
Book a VisitHow It WorksOrders go local
Labs, imaging and pharmacies near Buffalo.
Kaleida Health Laboratories operates blood-draw sites across the Buffalo area, with a locations finder on its website; For imaging, Great Lakes Medical Imaging runs five outpatient centers in Williamsville, Cheektowaga, Niagara and Orchard Park offering MRI, CT, ultrasound, X-ray and mammography, and the hospital radiology departments at Buffalo General, ECMC, Mercy and Sisters accept outpatient orders. Prescriptions are sent electronically to the pharmacy you choose, whether Walgreens, CVS, a Tops or Wegmans pharmacy, or an independent. Rite Aid, long common in Western New York, closed all its stores in 2025.
Blood work
Kaleida Health Laboratories runs a network of blood-draw sites (locations finder on labs.kaleidahealth.org); Quest Diagnostics and Labcorp also operate patient service centers in New York.
Imaging
Great Lakes Medical Imaging (five centers: Williamsville, Niagara, Cheektowaga and two in Orchard Park; MRI, CT, PET/CT, ultrasound, X-ray, mammography) plus hospital radiology at Kaleida Health, ECMC and Catholic Health.
Pharmacies
Walgreens, CVS, Tops and Wegmans supermarket pharmacies, independents; Rite Aid closed all of its New York stores in 2025.
Before you go, confirm the requested test, outside-order acceptance, insurance, collection fees and hours with the facility. These resources are examples, not a complete directory. Quest Location Finder · Labcorp Location Finder.
Patient Questions
All Patient Questions Buffalo questions.
Does Wade’s Care First have an office in Buffalo?
No. Wade’s Care First is a telehealth practice. You join your visit by secure video from home, work or anywhere in New York, and Charles Wade, FNP-BC is licensed to treat you while you are in the state. Anything that needs hands-on care is coordinated with facilities in and around Buffalo, such as Buffalo General Medical Center / Gates Vascular Institute (Kaleida Health; Buffalo Niagara Medical Campus), Erie County Medical Center (462 Grider Street; emergency and trauma care), Golisano Children’s Hospital of Buffalo (Kaleida Health; renamed from Oishei Children’s Hospital in January 2026) and Mercy Hospital of Buffalo (565 Abbott Road) and Sisters of Charity Hospital (2157 Main Street), both Catholic Health; Millard Fillmore Suburban Hospital (Amherst).
Where will I go for blood work if I live in Buffalo?
Kaleida Health Laboratories runs a network of blood-draw sites (locations finder on labs.kaleidahealth.org); Quest Diagnostics and Labcorp also operate patient service centers in New York. We send the order electronically to a location that is convenient for you or in your insurance network. Results come back to us for review with you.
Which Buffalo hospitals have an emergency department?
Buffalo General Medical Center / Gates Vascular Institute (Kaleida Health; Buffalo Niagara Medical Campus), Erie County Medical Center (462 Grider Street; emergency and trauma care), Golisano Children’s Hospital of Buffalo (Kaleida Health; renamed from Oishei Children’s Hospital in January 2026) and Mercy Hospital of Buffalo (565 Abbott Road) and Sisters of Charity Hospital (2157 Main Street), both Catholic Health; Millard Fillmore Suburban Hospital (Amherst). For chest pain, trouble breathing, stroke symptoms, severe bleeding, a major injury or thoughts of harming yourself, call 911 or go to the nearest emergency department rather than booking a video visit.
Are there community health centers in Buffalo for in-person care?
Jericho Road Community Health Center (184 Barton Street; serves families in poverty, refugees and immigrants; HHS-funded health center), Evergreen Health (Buffalo and Jamestown; primary care, HIV, LGBTQ+, behavioral health and harm reduction) and Community Health Center of Buffalo (HRSA-funded health center; Buffalo and Niagara Falls) serve the area with in-person primary care on a sliding scale. Many patients pair that kind of local clinic with telehealth for follow-ups, medication management and specialist coordination.
Can I use New York Medicaid or other insurance for a telehealth visit from Buffalo?
Many plans are accepted and benefits are verified before your visit. BCBS / Anthem PPO, UnitedHealthcare PPO, UMR (PPO), Aetna PPO, Cigna PPO, Humana PPO, Ambetter PPO, Fidelis Care / Ambetter (NY Marketplace), TRICARE. New York Medicaid is delivered mainly through mainstream Medicaid Managed Care plans (HARP and Child Health Plus enrollment is reported within those plans); 2,518,926 New York City residents and 5.6 million+ statewide were in mainstream plans in December 2025. The Essential Plan (New York’s Basic Health Program) covers adults under 200% of the federal poverty level with no monthly premium; a 2024 waiver that had extended it to 250% FPL ended July 1, 2026 after federal funding cuts, ending Essential Plan eligibility for the affected income group; those members may qualify for Qualified Health Plans with financial assistance. Free enrollment help: NY State of Health, 1-855-355-5777. Statewide Medicaid managed care plans reported by NYSDOH (2024 eQARR profiles, enrollment order): Fidelis Care, Healthfirst, MetroPlus Health Plan, Anthem BlueCross BlueShield HP, UnitedHealthcare Community Plan, Molina Healthcare of New York, Excellus BlueCross BlueShield, MVP Health Care, HIP/EmblemHealth, CDPHP, Independent Health, Highmark Western and Northeastern New York; HIV Special Needs Plans: Amida Care, MetroPlus SNP, SelectHealth from VNS Health. County availability varies: NYC (Fidelis, Healthfirst, MetroPlus, Anthem, UnitedHealthcare, Molina, HIP, Amida Care, VNS); Erie (Fidelis, Independent Health, Highmark, Molina, UnitedHealthcare, Excellus); Monroe (Excellus, MVP, Fidelis, UnitedHealthcare, Molina); Onondaga (Fidelis, Molina, UnitedHealthcare, Excellus); Albany (CDPHP, Fidelis, MVP, UnitedHealthcare); Nassau (Healthfirst, Fidelis, Anthem, HIP, UnitedHealthcare, Molina); St. Lawrence (Fidelis, UnitedHealthcare, MVP). December 2025 NYSDOH enrollment report. Coverage varies by plan, and self-pay pricing is posted if your plan is not accepted.
Is Buffalo a health professional shortage area?
Primary Care: LI-Buffalo RSA-1 low-income population HPSA, score 19 (March 2026); Southern Erie County Medicaid-eligible HPSA, score 14. Mental Health: ME, City of Buffalo, score 19. Plus FQHC and look-alike designations. Telehealth can complement local clinicians by offering another way to access primary care, mental health and medication follow-up while you keep your local relationships.
Can orders be sent to a laboratory or imaging facility near me?
When clinically appropriate, we can send orders to a laboratory or imaging facility you choose. Confirm that the location performs the requested test, accepts the order and participates in your insurance network. Availability and travel distance vary by community.
More answers
Questions Buffalo patients ask about mental health, ADHD and medical weight management.
- How can I tell whether worry has become an anxiety disorder?
- What is the difference between a panic attack and generalized anxiety?
- Can ADHD first become apparent in adulthood?
- What is executive dysfunction?
- What is medical weight management?
- Am I a candidate for medical weight loss?
All Mental Health Questions All ADHD Questions All Medical Weight Management Questions
Good to know
Services, screening recommendations, testing, treatment options, referrals and prescribing may vary with your age, medical history, symptoms, where you are physically located at the time of the visit, state and federal requirements, insurance requirements, and whether your condition can be safely managed by telehealth. Conditions and services listed here are examples. An appointment does not guarantee a particular diagnosis, a prescription, a controlled medication, hormone therapy, a lab order, an imaging study, a sleep study, a specialist referral, an accommodation letter or a particular treatment. Treatment decisions follow a clinical evaluation and the provider’s judgment.
Sources
Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
Patient Education
Browse All Patient EducationHealth topics for Buffalo patients.
Articles on the care people in Buffalo book most, each linked to its service and booking.
ADHD
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Medical Weight Management
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Mental Health
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Read Article →
A local landmark
Buffalo City Hall and McKinley Monument
The McKinley Monument in front of Buffalo City Hall in Buffalo, New York.
Photo: Library of Congress, Prints & Photographs Division, photograph by Carol M. Highsmith (LC-DIG-highsm-52680) · Source · Public domain; no known restrictions on publication. Resized for display.
Metro area · Erie County (city of Buffalo; metro includes Erie and Niagara counties)
Getting care in Buffalo
Western New York’s largest city on Lake Erie, home to the state’s only freestanding children’s hospital, a large refugee and immigrant population, and some of the heaviest lake-effect snow in the country.
In Buffalo, the challenge is less about hospital capacity and more about getting to a clinician on a January morning when the Skyway is closed and the Southtowns are under three feet of snow. Federal data designates the city as a low-income primary care shortage area and a mental health shortage area, so even in good weather new-patient appointments can be months out. A video visit with Charles Wade, FNP-BC, covers primary care, mental health and ADHD, weight management, urgent concerns, dermatology, men’s and women’s health, pediatrics from age five and geriatric care. Orders go to a Buffalo-area lab, imaging center or pharmacy you pick. You must be in New York at the time of the visit.
Access in Erie County (city of Buffalo; metro includes Erie and Niagara counties)
HRSA designates a low-income primary care HPSA for Buffalo (LI-Buffalo RSA-1, score 19, updated March 2026) and a Medicaid-eligible City of Buffalo mental health HPSA (score 19). Medicaid enrollment was about 30.4% of Erie County residents in 2015-16. Winter: Buffalo’s seasonal snowfall has ranged from 36.7 inches (2011-12) to 199.4 inches (1976-77) in NWS records, and lake-effect bands can shut down travel for days.
Who this helps most in Buffalo
Telehealth fits Buffalo residents who lose workdays to snow, older adults who do not drive in winter, parents of school-age children, and anyone managing depression, anxiety, ADHD, blood pressure or weight who wants steady follow-up without the trip. Refugee and immigrant families who need interpretation may be better served in person at Jericho Road or another community health center. Do not use a video visit for chest pain, stroke symptoms, severe breathing trouble, major injuries or a mental health crisis; call 911 or go to ECMC, Buffalo General, Mercy, Sisters of Charity or, for children, Golisano Children’s Hospital of Buffalo. Vaccines, procedures and hands-on exams still require an in-person visit.
Local health considerations
- Lake-effect snow: seasonal totals in Buffalo have ranged from under 40 to nearly 200 inches, and storms can isolate neighborhoods for days. Source: NWS Buffalo snowfall records.
- Refugee and immigrant health: Jericho Road Community Health Center was built around serving refugees and asylum seekers on Buffalo’s West Side. Source: jrchc.org.
- Pediatric Care centralizes at one facility: Golisano Children’s Hospital of Buffalo, the state’s only freestanding children’s hospital. Source: Golisano Foundation, August 2025.
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