Dr Ella Ruth Derbyshire, MD | |
35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 | |
(518) 677-3961 | |
(518) 677-3180 |
Full Name | Dr Ella Ruth Derbyshire |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 35 Gilbert St, Cambridge, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285678938 | NPI | - | NPPES |
HS19OP | Medicaid | AK | |
HS19IP | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5690 (Alaska) | Secondary |
207Q00000X | Family Medicine | 280886 (New York) | Primary |
Entity Name | Yukon-kuskokwim Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447477815 PECOS PAC ID: 5193718765 Enrollment ID: O20040407001515 |
Entity Name | Maniilaq Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861698805 PECOS PAC ID: 6103881792 Enrollment ID: O20041123000372 |
Mailing Address | Practice Location Address |
---|---|
Dr Ella Ruth Derbyshire, MD Po Box 304, Adirondack Medical Services, Glens Falls, NY 12801-0304 Ph: (518) 926-6992 | Dr Ella Ruth Derbyshire, MD 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 Ph: (518) 677-3961 |
Jennifer Baker-porazinski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 | |
Carissa M Lackey, MD, MPH Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 | |
Dr. Peter Joseph Peff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Gilbert St, Cambridge, NY 12816 Phone: 518-677-3961 Fax: 518-677-3180 |