Mr Charles Lee Eaton Jr, FNP | |
134 Homer Ave, Cortland, NY 13045-1206 | |
(607) 756-3740 | |
Not Available |
Full Name | Mr Charles Lee Eaton Jr |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 134 Homer Ave, Cortland, 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 |
---|---|---|---|
1326526088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 348533 (New York) | Primary |
Entity Name | Familycare Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447212063 PECOS PAC ID: 5193639565 Enrollment ID: O20031119000053 |
Entity Name | Emergency Medicine Physicians Of Cortland County Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609816024 PECOS PAC ID: 6002802725 Enrollment ID: O20040420001468 |
Mailing Address | Practice Location Address |
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Mr Charles Lee Eaton Jr, FNP 134 Homer Ave, Cortland, NY 13045-1206 Ph: (607) 756-3740 | Mr Charles Lee Eaton Jr, FNP 134 Homer Ave, Cortland, NY 13045-1206 Ph: (607) 756-3740 |
Karen Wickert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4077 West Rd, Cortland, NY 13045 Phone: 607-753-9977 Fax: 607-753-7311 | |
Caitlin M Atwater, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4038 West Rd, Cortland, NY 13045 Phone: 607-758-3008 Fax: 607-758-3019 | |
Melanie Novick, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 N Main St, Cortland, NY 13045 Phone: 607-753-0234 Fax: 607-753-0286 | |
Caroline Fasanelli, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-756-3500 | |
Soo Yeon Shin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-756-3500 | |
Amanda Dawn Holley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Homer Avenue, Cortland, NY 13045 Phone: 607-756-3500 | |
Mrs. Jenniferleigh Vonderhorst Clune, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4077 West Road, Cortland, NY 13045 Phone: 607-753-9977 Fax: 607-218-6276 |