| Nexus Neuropsychiatry Pllc | |
|
1655 Elmwood Ave Ste 220 Rochester NY 14620-3426 | |
| (814) 969-3980 | |
| (585) 460-9835 |
| Full Name | Nexus Neuropsychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1655 Elmwood Ave Ste 220, Rochester, New York |
| Authorized Official Name and Position | Shane Stegen (OWNER AND CEO) |
| Authorized Official Contact | 8149693980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Neuropsychiatry Pllc Po Box 18102 Rochester NY 14618-0102 Ph: (814) 969-3980 | Nexus Neuropsychiatry Pllc 1655 Elmwood Ave Ste 220 Rochester NY 14620-3426 Ph: (814) 969-3980 |
| NPI Number | 1861190415 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Medicare PECOS PAC ID | 5799142451 |
|---|---|
| Medicare Enrollment ID | O20230612001628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861190415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Samantha Kamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396107934 PECOS PAC ID: 1759631757 Enrollment ID: I20201009000453 |
| Provider Name | Shane A Stegen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215468657 PECOS PAC ID: 6608126651 Enrollment ID: I20210512002284 |
| Provider Name | Nadine D Mills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033506605 PECOS PAC ID: 2961752878 Enrollment ID: I20220711001718 |
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