| Carol Coy, NP | |
|
4201 Buffalo Road, Suite 1, North Chili, NY 14514-1256 | |
| (585) 594-5995 | |
| (585) 594-5425 |
| Full Name | Carol Coy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 4201 Buffalo Road, Suite 1, North Chili, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841304656 | NPI | - | NPPES |
| 02076777 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F400521-01 (New York) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F400521-1 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Churchville-chili Family Medicine Llc | 5294957874 | 12 |
| Entity Name | Churchville-chili Family Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326231291 PECOS PAC ID: 5294957874 Enrollment ID: O20141114001670 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Coy, NP Po Box 505, North Chili, NY 14514-0505 Ph: (585) 594-5995 | Carol Coy, NP 4201 Buffalo Road, Suite 1, North Chili, NY 14514-1256 Ph: (585) 594-5995 |
Mrs. Blessing Akudo Ibezim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 Gilead Hill Rd, North Chili, NY 14514 Phone: 585-729-5363 |
Tamese Latoya Murray, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 Buffalo Road, Suite 1, North Chili, NY 14514 Phone: 585-594-5995 Fax: 585-594-5425 |
Mrs. Crystal Bateman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4415 Buffalo Rd, Suite 1b, North Chili, NY 14514 Phone: 585-594-9254 Fax: 585-594-9233 |