Derek Fenton, | |
102 Ford St, Ogdensburg, NY 13669-1402 | |
(315) 713-9350 | |
Not Available |
Full Name | Derek Fenton |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 102 Ford St, Ogdensburg, 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 |
---|---|---|---|
1245923424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 351949 (New York) | Primary |
Entity Name | United Cerebral Palsy Association Of The North Country Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467432765 PECOS PAC ID: 8729078001 Enrollment ID: O20040518000102 |
Mailing Address | Practice Location Address |
---|---|
Derek Fenton, 102 Ford St, Ogdensburg, NY 13669-1402 Ph: () - | Derek Fenton, 102 Ford St, Ogdensburg, NY 13669-1402 Ph: (315) 713-9350 |
Maribeth Evans, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1003 Park St, Ogdensburg, NY 13669 Phone: 315-713-9090 | |
Kenneth Hilborne, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-394-7542 Fax: 866-506-5573 | |
Kristin Elizabeth Lamay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 State St, Ogdensburg, NY 13669 Phone: 315-393-9269 | |
Ms. Denise P Montroy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-394-7542 Fax: 315-394-0015 | |
Mrs. Tara Brooke Laffin, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Chimney Point Drive, Ogdensburg, NY 13669 Phone: 315-394-6256 Fax: 315-394-6446 | |
Alana M Stevenson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Place, Suite 302, Ogdensburg, NY 13669 Phone: 315-393-7955 Fax: 888-369-9340 |