Dianna L Lewis-brewster, NP | |
6081 E Seneca Tpke, Jamesville, NY 13078-9518 | |
(315) 123-4567 | |
Not Available |
Full Name | Dianna L Lewis-brewster |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6081 E Seneca Tpke, Jamesville, 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 |
---|---|---|---|
1831126168 | NPI | - | NPPES |
02373953 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F332686 (New York) | Primary |
Entity Name | Suny Health Science Center At Syracuse |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184974529 PECOS PAC ID: 7214833086 Enrollment ID: O20031211000420 |
Entity Name | Upstate Community Medical, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689620163 PECOS PAC ID: 0143238782 Enrollment ID: O20060323000644 |
Mailing Address | Practice Location Address |
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Dianna L Lewis-brewster, NP 6081 E Seneca Tpke, Jamesville, NY 13078-9518 Ph: () - | Dianna L Lewis-brewster, NP 6081 E Seneca Tpke, Jamesville, NY 13078-9518 Ph: (315) 123-4567 |
Sydney German, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6818 E Seneca Tpke, Jamesville, NY 13078 Phone: 315-481-6686 | |
Susi Koshy, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5236 Longridge Rd, Jamesville, NY 13078 Phone: 315-446-5202 |