Mary Ellen Johnson, FNP-BC | |
1783 Route 9 Ste 102, Halfmoon, NY 12065-2467 | |
(518) 383-4198 | |
(518) 383-0448 |
Full Name | Mary Ellen Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1783 Route 9 Ste 102, Halfmoon, 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 |
---|---|---|---|
1831825686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 349935 (New York) | Primary |
Entity Name | Community Care Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
Mailing Address | Practice Location Address |
---|---|
Mary Ellen Johnson, FNP-BC 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Mary Ellen Johnson, FNP-BC 1783 Route 9 Ste 102, Halfmoon, NY 12065-2467 Ph: (518) 383-4198 |
Kathrine Geoghegan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Chateau Dr, Halfmoon, NY 12065 Phone: 518-339-2380 | |
Jessica Riggins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9 Ste 203, Halfmoon, NY 12065 Phone: 518-213-6910 Fax: 518-213-6932 | |
Alexa A Decerce, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Executive Park Dr, Halfmoon, NY 12065 Phone: 518-371-4614 | |
Ms. Lisa M Stephenson, MS, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9, Suite 202, Halfmoon, NY 12065 Phone: 518-383-2366 Fax: 518-383-6022 | |
Bria Christiana Amedore, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1783 Route 9 Ste 101, Halfmoon, NY 12065 Phone: 518-881-1091 Fax: 518-881-0796 | |
Linda Katz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9 Ste 203, Halfmoon, NY 12065 Phone: 518-213-6910 Fax: 518-213-6932 | |
Denise Fuoco, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9 Ste 102, Halfmoon, NY 12065 Phone: 518-383-1498 |