Mrs Lavern Wilson-dennis, | |
1057 Eastern Pkwy, Apt 2d, Brooklyn, NY 11213-4859 | |
(347) 529-3446 | |
Not Available |
Full Name | Mrs Lavern Wilson-dennis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1057 Eastern Pkwy, Brooklyn, 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 |
---|---|---|---|
1386876373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 609630 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F402477 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lc Nurse Practitioner Psychiatry Services Pc | 2769733948 | 2 |
Entity Name | Lc Nurse Practitioner Psychiatry Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619462322 PECOS PAC ID: 2769733948 Enrollment ID: O20180927000831 |
Entity Name | Lw Np Psychiatry Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417637042 PECOS PAC ID: 7810334943 Enrollment ID: O20240325001462 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lavern Wilson-dennis, 1057 Eastern Pkwy, Apt 2d, Brooklyn, NY 11213-4859 Ph: (347) 529-3446 | Mrs Lavern Wilson-dennis, 1057 Eastern Pkwy, Apt 2d, Brooklyn, NY 11213-4859 Ph: (347) 529-3446 |
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