Lacey Diemer, NP | |
53 Pine St, Deposit, NY 13754-1301 | |
(607) 467-4195 | |
Not Available |
Full Name | Lacey Diemer |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 53 Pine St, Deposit, 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 |
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1346970779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 349947 (New York) | Primary |
Entity Name | United Health Services Hospitals, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
Mailing Address | Practice Location Address |
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Lacey Diemer, NP 33 Lewis Rd, 2nd Fl, Binghamton, NY 13905 Ph: (607) 770-0025 | Lacey Diemer, NP 53 Pine St, Deposit, NY 13754-1301 Ph: (607) 467-4195 |
Sarah Runyon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53 Pine St, Deposit, NY 13754 Phone: 607-467-4195 Fax: 607-467-4194 | |
Karena Trimbell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53 Pine St, Deposit, NY 13754 Phone: 607-467-4195 Fax: 607-467-7194 | |
Jeanne-marie Firpo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53 Pine St, Deposit, NY 13754 Phone: 607-467-4195 |