| Megan Putnam, NP-BC | |
| 
					465 State Highway 163, Fort Plain, NY 13339-4035  | |
| (518) 332-4702 | |
| Not Available | 
| Full Name | Megan Putnam | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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  |