Lynn G Widrick, | |
214 King St, Ogdensburg, NY 13669-1142 | |
(315) 393-3600 | |
Not Available |
Full Name | Lynn G Widrick |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 214 King St, Ogdensburg, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982754768 | NPI | - | NPPES |
23000490261 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 490261 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Canton-potsdam Hospital | Potsdam, NY | Hospital |
Gouverneur Hospital | Gouverneur, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Canton-potsdam Hospital | 6204827280 | 197 |
Gouverneur Hospital | 9931336724 | 19 |
Entity Name | Canton-potsdam Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
Entity Name | Delphi Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922270420 PECOS PAC ID: 5395819478 Enrollment ID: O20080807000352 |
Entity Name | Delphi Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003075029 PECOS PAC ID: 9537229661 Enrollment ID: O20081119000839 |
Entity Name | Premier Anesthesia Of New York, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063658961 PECOS PAC ID: 7719041102 Enrollment ID: O20090129000560 |
Entity Name | Gouverneur Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
Entity Name | Delphi Physicians Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548865843 PECOS PAC ID: 5799185021 Enrollment ID: O20210608003098 |
Mailing Address | Practice Location Address |
---|---|
Lynn G Widrick, 214 King St, Ogdensburg, NY 13669-1142 Ph: (315) 393-3600 | Lynn G Widrick, 214 King St, Ogdensburg, NY 13669-1142 Ph: (315) 393-3600 |
Krista L Fuller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 214 King Street, Ogdensburg, NY 13669 Phone: 315-393-3600 Fax: 315-393-7250 | |
Robert E Larock, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Steven Doyle, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Kristi-ann Lyga, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 Fax: 315-393-7250 | |
Robert J Smith, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Steve O Cole, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
William C Oneill, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 |