Megan Putnam, NP-BC | |
465 State Highway 163, Fort Plain, NY 13339-4035 | |
(518) 332-4702 | |
Not Available |
Full Name | Megan Putnam |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 465 State Highway 163, Fort Plain, 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 |
---|---|---|---|
1912669151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 348400 (New York) | Primary |
Entity Name | Nott Street Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154330892 PECOS PAC ID: 5193999670 Enrollment ID: O20111118000137 |
Entity Name | Medical Director Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
Entity Name | New York General Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
Entity Name | Nv Pacs 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210831002021 |
Entity Name | Cs Pacs 3 Northeast, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093598898 PECOS PAC ID: 0941656607 Enrollment ID: O20231101000632 |
Mailing Address | Practice Location Address |
---|---|
Megan Putnam, NP-BC 465 State Highway 163, Fort Plain, NY 13339-4035 Ph: (518) 332-4702 | Megan Putnam, NP-BC 465 State Highway 163, Fort Plain, NY 13339-4035 Ph: (518) 332-4702 |