Johannah Shortle, | |
4435 Seneca Rd, Trumansburg, NY 14886-9201 | |
(607) 387-5707 | |
Not Available |
Full Name | Johannah Shortle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 4435 Seneca Rd, Trumansburg, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336664655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 341858 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cayuga Medical Associates Pc | 6709897960 | 217 |
Entity Name | Schuyler Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760582142 PECOS PAC ID: 3577548262 Enrollment ID: O20040618000324 |
Entity Name | Cayuga Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525455 PECOS PAC ID: 6709897960 Enrollment ID: O20060601000199 |
Entity Name | Trumansburg Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528056942 PECOS PAC ID: 5395846794 Enrollment ID: O20070730000594 |
Mailing Address | Practice Location Address |
---|---|
Johannah Shortle, 651 Ridge Rd Apt B4, Lansing, NY 14882-8866 Ph: () - | Johannah Shortle, 4435 Seneca Rd, Trumansburg, NY 14886-9201 Ph: (607) 387-5707 |
Jeannine Marie Destries, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 | |
Rebecca A Damiani, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 Fax: 607-387-4354 | |
Shawnti Storm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4435 Seneca Rd, Trumansburg, NY 14886 Phone: 607-387-5707 | |
Mrs. Bridget Martin-slocum, ACNP-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7187 Jacksonville Rd, Trumansburg, NY 14886 Phone: 703-638-8151 |