Katelin L Elenterio, | |
70 N Country Rd Ste 201, Port Jefferson, NY 11777-2161 | |
(631) 331-0200 | |
Not Available |
Full Name | Katelin L Elenterio |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 70 N Country Rd Ste 201, Port Jefferson, 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 |
---|---|---|---|
1427612050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 542117 (New York) | Secondary |
363L00000X | Nurse Practitioner | 309150 (New York) | Primary |
Entity Name | Advanced Gastroenterology And Endoscopy Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831324532 PECOS PAC ID: 9537219753 Enrollment ID: O20090610000277 |
Entity Name | Mission Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750898565 PECOS PAC ID: 2365705696 Enrollment ID: O20180418002058 |
Mailing Address | Practice Location Address |
---|---|
Katelin L Elenterio, 70 N Country Rd Ste 201, Port Jefferson, NY 11777-2161 Ph: (631) 331-0200 | Katelin L Elenterio, 70 N Country Rd Ste 201, Port Jefferson, NY 11777-2161 Ph: (631) 331-0200 |
Ms. Janice Fleischman Eaton, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Old Post Road East, Port Jefferson, NY 11777 Phone: 631-928-7999 | |
Katlyn Ann Conville, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-2565 | |
Joanne F Angstadt, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Belle Terre Road, Port Jefferson, NY 11733 Phone: 631-675-2462 | |
Kenneth William Nissen, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-2786 | |
Ms. Christine Julia Mckeon, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Highlands Blvd, Port Jefferson, NY 11777 Phone: 631-473-3877 | |
Joan L Nathan, A.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 N Country Rd, Port Jefferson, NY 11777 Phone: 631-928-4586 | |
Genine Schwinge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7653 |