Joanne Detore, PA in Glens Falls, NY - Medicare Physician Assistant

Joanne Detore, PA is a medicare enrolled "Physician Assistant" in Glens Falls, New York. Her current practice location is 2 Broad Street Plz, Broad Street Medical Group, Glens Falls, New York. You can reach out to her office (for appointments etc.) via phone at (518) 926-1770.

Joanne Detore is licensed to practice in New York (license number 006825) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396724894.

Contact Information

	Joanne Detore, PA
	2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4363
	(518) 926-1770
	(518) 926-1799

Map and Direction

Provider's Profile

Full Name	Joanne Detore
Gender	Female
Speciality	Physician Assistant
Location	2 Broad Street Plz, Glens Falls, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396724894
Provider Enumeration Date: 01/12/2006
Last Update Date: 06/06/2012

Medicare PECOS Information:

PECOS PAC ID: 4183718042
Enrollment ID: I20070922000045

Medical Identifiers

Medical identifiers for Joanne Detore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396724894	NPI	-	NPPES
P00055451	Other	NY	RR MEDICARE
02340921	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	006825 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joanne Detore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Joanne Detore, PA Po Box 304, Glens Falls, NY 12801-0304 Ph: (518) 926-1770	Joanne Detore, PA 2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4363 Ph: (518) 926-1770

Reviews and Comments

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Joanne Detore, PA - Medicare Physician Assistant in Glens Falls, NY