Mr John Anthony Stagg, PMHNP-BC | |
4050 Lake Shore Rd Apt 132, Hamburg, NY 14075-1740 | |
(716) 935-0508 | |
Not Available |
Full Name | Mr John Anthony Stagg |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4050 Lake Shore Rd Apt 132, Hamburg, 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 |
---|---|---|---|
1316689631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403753 (New York) | Primary |
Entity Name | Valera Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279 |
Mailing Address | Practice Location Address |
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Mr John Anthony Stagg, PMHNP-BC 4050 Lake Shore Rd Apt 132, Hamburg, NY 14075-1740 Ph: (716) 935-0508 | Mr John Anthony Stagg, PMHNP-BC 4050 Lake Shore Rd Apt 132, Hamburg, NY 14075-1740 Ph: (716) 935-0508 |
Kristina C Baranyi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4535 Southwestern Blvd Ste 704, Hamburg, NY 14075 Phone: 716-689-3333 | |
Jill Rice, APRN PMHNP AND FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3750 Heatherwood Dr Apt L5, Hamburg, NY 14075 Phone: 694-693-3044 | |
Janele Lucy Storms, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4855 Camp Rd, Ste 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 | |
Mary Colleen House, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Long Avenue, Suite 110, Hamburg, NY 14075 Phone: 716-646-5188 Fax: 716-646-5190 | |
Theresa Ann Weremblewski, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4477 Lake Shore Rd, Hamburg, NY 14075 Phone: 716-442-2003 | |
Ms. Sara Maria Burgio, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4855 Camp Rd, Suite 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 |