Cheryl Marie Nickerson, GNP | |
7009 Rumsey Rd Extension, Bath, NY 14810 | |
(607) 661-9114 | |
(607) 664-1020 |
Full Name | Cheryl Marie Nickerson |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 7009 Rumsey Rd Extension, Bath, 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 |
---|---|---|---|
1205919578 | NPI | - | NPPES |
02829629 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | F340488-1 (New York) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 340488 (New York) | Primary |
Entity Name | M Tariq Randhawa Medical Practice Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942555313 PECOS PAC ID: 3274782701 Enrollment ID: O20120927000257 |
Mailing Address | Practice Location Address |
---|---|
Cheryl Marie Nickerson, GNP 150 Prattsburg Rd., Naples, NY 14512 Ph: (585) 943-1538 | Cheryl Marie Nickerson, GNP 7009 Rumsey Rd Extension, Bath, NY 14810 Ph: (607) 661-9114 |
Mrs. Muriel S Brown, GNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4727 | |
Ms. Sonia Kay Liberatore, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4000 | |
Ms. Ellen M Hey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 E Steuben St, Bath, NY 14810 Phone: 607-776-3063 Fax: 607-776-1011 | |
Mrs. Laura Paul, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6890 County Route 113, Bath, NY 14810 Phone: 607-776-3063 | |
Dodi Owens, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4000 | |
Mrs. Jessica Price, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4000 |