Meghan Mcgowan, CPNP-PC | |
77 W Barney St, Gouverneur, NY 13642-1040 | |
(315) 535-1300 | |
Not Available |
Full Name | Meghan Mcgowan |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 77 W Barney St, Gouverneur, 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 |
---|---|---|---|
1346801644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 382979 (New York) | Primary |
163W00000X | Registered Nurse | 739805 (New York) | Secondary |
Entity Name | Open Door Family Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285893719 PECOS PAC ID: 7113835380 Enrollment ID: O20150224001267 |
Mailing Address | Practice Location Address |
---|---|
Meghan Mcgowan, CPNP-PC 26116 Mountain Ln, Evans Mills, NY 13637-3422 Ph: (914) 629-0408 | Meghan Mcgowan, CPNP-PC 77 W Barney St, Gouverneur, NY 13642-1040 Ph: (315) 535-1300 |
Laurie Faye Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-1000 Fax: 315-535-9207 | |
Mrs. Rachel I Raven, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 W. Barney St., Gouverneur, NY 13642 Phone: 315-261-5871 Fax: 315-714-3068 | |
Matthew David Zegil, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-1000 |