| Integrated Telehealth Medicine Pc | |
|
1 Healthy Way Oceanside NY 11572-1551 | |
| (855) 270-3625 | |
| Not Available |
| Full Name | Integrated Telehealth Medicine Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Healthy Way, Oceanside, New York |
| Authorized Official Name and Position | Cindy Walker (PHYSICIAN SERVICES DIRECTOR) |
| Authorized Official Contact | 6154181669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Telehealth Medicine Pc 1501 42nd St Ste 575 West Des Moines IA 50266-1060 Ph: (855) 270-3625 | Integrated Telehealth Medicine Pc 1 Healthy Way Oceanside NY 11572-1551 Ph: (855) 270-3625 |
| NPI Number | 1124870233 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 7810428976 |
|---|---|
| Medicare Enrollment ID | O20241001001988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124870233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Tara S Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982885414 PECOS PAC ID: 3779663661 Enrollment ID: I20080104000273 |
| Provider Name | Janice Hesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073764734 PECOS PAC ID: 4385777523 Enrollment ID: I20100809000509 |
| Provider Name | Joan James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437312014 PECOS PAC ID: 6002066214 Enrollment ID: I20230820000035 |
| Provider Name | Mary Embrescia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659556934 PECOS PAC ID: 8022261197 Enrollment ID: I20241001002118 |
| Provider Name | Christina Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245765841 PECOS PAC ID: 2466724075 Enrollment ID: I20241010000453 |
| Provider Name | Courtney Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558940726 PECOS PAC ID: 1658775986 Enrollment ID: I20241011000555 |
| Provider Name | Cathleen Handke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134884349 PECOS PAC ID: 9830580612 Enrollment ID: I20241011000968 |
| Provider Name | Mary Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780527 PECOS PAC ID: 3476986415 Enrollment ID: I20241011002541 |
| Provider Name | Krista Thornberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710347059 PECOS PAC ID: 1052602158 Enrollment ID: I20241011002608 |
| Provider Name | Shana Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417298084 PECOS PAC ID: 6507183449 Enrollment ID: I20241011002698 |
| Provider Name | Heidi Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972913978 PECOS PAC ID: 3072746338 Enrollment ID: I20241014001317 |
| Provider Name | Neza Bharucha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467986422 PECOS PAC ID: 3173899440 Enrollment ID: I20241023000076 |
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