Athena Reome, | |
725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | |
(315) 464-8444 | |
Not Available |
Full Name | Athena Reome |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 725 Irving Ave Ste 504, Syracuse, 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 |
---|---|---|---|
1164201372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | F383575-01 (New York) | Primary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | F383575-01 (New York) | Secondary |
Entity Name | Pediatric Service Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
Mailing Address | Practice Location Address |
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Athena Reome, 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 Ph: (315) 464-8444 | Athena Reome, 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 Ph: (315) 464-8444 |
Janice M Agen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202 Phone: 315-464-5210 Fax: 315-464-2141 | |
Irene S Borja, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Mrs. Yingzi Wang, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Michele Rene Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 | |
Nicole Marie Voudren, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-254-6914 Fax: 315-464-8524 | |
Mary Jean Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Frances I Swiecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |