Heather Jaeger, NP | |
161 E Main St Ste 300, Port Jervis, NY 12771-2113 | |
(845) 856-3284 | |
(845) 856-3306 |
Full Name | Heather Jaeger |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 161 E Main St Ste 300, Port Jervis, 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 |
---|---|---|---|
1144719733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | LP-0010583 (Delaware) | Secondary |
363L00000X | Nurse Practitioner | SP018850 (Pennsylvania) | Primary |
Entity Name | Genesis Eldercare Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518901933 PECOS PAC ID: 9830002534 Enrollment ID: O20040512000758 |
Entity Name | Gps Physician Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180122001386 |
Mailing Address | Practice Location Address |
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Heather Jaeger, NP 161 E Main St Ste 300, Port Jervis, NY 12771-2113 Ph: (845) 856-3284 | Heather Jaeger, NP 161 E Main St Ste 300, Port Jervis, NY 12771-2113 Ph: (845) 856-3284 |
Beverly Jane Fernandez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 E Main St, Port Jervis, NY 12771 Phone: 845-807-2239 | |
Sheri Succi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 E Main St, Port Jervis, NY 12771 Phone: 845-858-7000 | |
Margaret Mitchell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-544-4447 | |
Barbara Marie Marszalek, FPMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456 | |
Mrs. Heather Colombo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Orchard St, Port Jervis, NY 12771 Phone: 845-672-3995 | |
Mrs. Avion J Thomas-walsh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 158 Pike St, Port Jervis, NY 12771 Phone: 845-672-4420 Fax: 949-655-5993 |