Mr Kenneth Edward Demott, FNP | |
39 Pearl St W, Sidney, NY 13838-1330 | |
(607) 561-2021 | |
Not Available |
Full Name | Mr Kenneth Edward Demott |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 39 Pearl St W, Sidney, 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 |
---|---|---|---|
1730419870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 336161 (New York) | Primary |
Entity Name | Mary Imogene Bassett Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834 |
Mailing Address | Practice Location Address |
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Mr Kenneth Edward Demott, FNP 39 Pearl St W, Sidney, NY 13838-1330 Ph: (607) 561-2021 | Mr Kenneth Edward Demott, FNP 39 Pearl St W, Sidney, NY 13838-1330 Ph: (607) 561-2021 |
Julia Marie Parsons, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Pearl St W, Sidney, NY 13838 Phone: 607-561-2200 Fax: 607-337-4689 | |
Mrs. Rochelle Lee Cherrone, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Pearl St W, Sidney, NY 13838 Phone: 607-561-2021 Fax: 607-563-2263 | |
Meaghan Leigh Provost, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Pearl St W, Sidney, NY 13838 Phone: 607-561-2200 | |
Ms. Connie Diane Kelly, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39 Pearl St W, Sidney, NY 13838 Phone: 252-354-7622 | |
Mrs. Jennifer M Lavare, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 River St, Sidney, NY 13838 Phone: 607-563-8022 |