Alexis Charbonneau, NP | |
13460 State Route 12, Boonville, NY 13309-3531 | |
(315) 942-4391 | |
Not Available |
Full Name | Alexis Charbonneau |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 13460 State Route 12, Boonville, 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 |
---|---|---|---|
1922791425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 751282 (New York) | Secondary |
363L00000X | Nurse Practitioner | 2458507 (New York) | Primary |
Entity Name | Mvhs Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
Mailing Address | Practice Location Address |
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Alexis Charbonneau, NP 2209 Genesee St, Utica, NY 13501-5999 Ph: (315) 801-8848 | Alexis Charbonneau, NP 13460 State Route 12, Boonville, NY 13309-3531 Ph: (315) 942-4391 |
Ann F Mellen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13407 State Route 12, Boonville, NY 13309 Phone: 315-942-3500 Fax: 315-942-3618 | |
Patricia Bates, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 232 Academy St, Boonville, NY 13309 Phone: 315-942-4301 | |
Elizabeth Gleasman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13407 State Route 12, Boonville, NY 13309 Phone: 315-942-3500 Fax: 315-942-3618 | |
Amanda Lampman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13407 State Route 12, Boonville, NY 13309 Phone: 315-404-6894 | |
Leah Boek, MSN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13407 Ny-12, Boonville, NY 13309 Phone: 315-942-3500 |