| Ellen Devlin, FNP | |
|
514 First Ave, Pelham, NY 10803-1107 | |
| (866) 389-2727 | |
| (612) 659-7101 |
| Full Name | Ellen Devlin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 514 First Ave, Pelham, 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 |
|---|---|---|---|
| 1568554350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 332094 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F332094-1 (New York) | Primary |
| Entity Name | Belong Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598478182 PECOS PAC ID: 7618342668 Enrollment ID: O20230405002300 |
| Entity Name | Edward Timothy Okelley Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407553936 PECOS PAC ID: 8729437793 Enrollment ID: O20231215002103 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Devlin, FNP 1 Shearwood Pl Apt 614, New Rochelle, NY 10801-6613 Ph: (475) 317-4773 | Ellen Devlin, FNP 514 First Ave, Pelham, NY 10803-1107 Ph: (866) 389-2727 |
Judith A Kulk, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4662 Boston Post Rd, Pelham, NY 10803 Phone: 914-738-7100 Fax: 914-738-9249 | |
Inga Dawe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Second Ave, Pelham, NY 10803 Phone: 240-643-9593 |