Glenn F Thibault, MD | |
61 Delano St, Pulaski, NY 13142-1400 | |
(315) 298-6564 | |
(315) 298-7488 |
Full Name | Glenn F Thibault |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 61 Delano St, Pulaski, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699769364 | NPI | - | NPPES |
00220472 | Medicaid | NY | |
331880 | Other | NY | FQHC NUMBER |
00307662 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 220472 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home (liverpool) | Liverpool, NY | Home health agency |
Oswego Hospital | Oswego, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Oswego County Health Services, Inc. | 8426961541 | 31 |
Entity Name | Northern Oswego County Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
Mailing Address | Practice Location Address |
---|---|
Glenn F Thibault, MD 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 | Glenn F Thibault, MD 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 |
Jay W Chapman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968 | |
Grace Nasri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 | |
Patricia L Chapman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 | |
Amanda Ray, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Northern Oswego County Health Services, Inc., Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 | |
Charles C Kim, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488 | |
Dr. Patrick J Carguello, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 |