Mary Alice O'brien, FNP | |
200 Front St, Vestal, NY 13850-1559 | |
(607) 658-1003 | |
(607) 658-1006 |
Full Name | Mary Alice O'brien |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 200 Front St, Vestal, 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 |
---|---|---|---|
1821176264 | NPI | - | NPPES |
02892717 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 526565 (New York) | Secondary |
363L00000X | Nurse Practitioner | F-334399 (New York) | Primary |
Entity Name | Urgent Care Medical Of New York Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154866879 PECOS PAC ID: 5890071443 Enrollment ID: O20170413000980 |
Mailing Address | Practice Location Address |
---|---|
Mary Alice O'brien, FNP 58 Lusk St, Johnson City, NY 13790-2541 Ph: (607) 763-6293 | Mary Alice O'brien, FNP 200 Front St, Vestal, NY 13850-1559 Ph: (607) 658-1003 |
Ying Fang Zhao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Apine Drive, Vestal, NY 13850 Phone: 917-238-7372 | |
Ms. Kathryn Ellen Ericksen, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Old Vestal Rd, Vestal, NY 13850 Phone: 607-221-2745 | |
Susan Wenzinger, ANPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4513 Old Vestal Rd, Vestal, NY 13850 Phone: 607-729-7001 | |
Erica Tokos, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145 | |
Chloe A Pusey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4104 Vestal Rd, Vestal Executive Park Suite 203, Vestal, NY 13850 Phone: 607-797-9036 Fax: 607-798-0601 | |
Aline Stabler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145 | |
Maggie Ross, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1938 Cole Pl, Vestal, NY 13850 Phone: 607-321-9798 |