Mary M Barbara, PA | |
61 Delano St, Pulaski, NY 13142-1400 | |
(315) 298-6564 | |
(315) 298-7488 |
Full Name | Mary M Barbara |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 61 Delano St, Pulaski, 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 |
---|---|---|---|
1942378831 | NPI | - | NPPES |
331880 | Other | FQHC NUMBER | |
00307662 | Medicaid | NY | |
PENDING | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 011647 (New York) | Primary |
Entity Name | Northern Oswego County Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
Mailing Address | Practice Location Address |
---|---|
Mary M Barbara, PA 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 | Mary M Barbara, PA 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 |
Sarah L Oddo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-342-0880 | |
William E Downey, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488 | |
Terry Alan Wilver, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7831 |