Mr Mark A Ricketts, PMHNP | |
1565 Herzel Blvd, West Babylon, NY 11704-4234 | |
(646) 649-6840 | |
Not Available |
Full Name | Mr Mark A Ricketts |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1565 Herzel Blvd, West Babylon, 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 |
---|---|---|---|
1801132782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F404433 (New York) | Primary |
Entity Name | Mercy Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619245610 PECOS PAC ID: 4082518006 Enrollment ID: O20040210000431 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark A Ricketts, PMHNP 1565 Herzel Blvd, West Babylon, NY 11704-4234 Ph: (646) 649-6840 | Mr Mark A Ricketts, PMHNP 1565 Herzel Blvd, West Babylon, NY 11704-4234 Ph: (646) 649-6840 |
Joliette N Jean-raymond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 8th Ave, West Babylon, NY 11704 Phone: 631-288-1507 | |
Olabisi Oshikanlu, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Farmingdale Road, West Babylon, NY 11704 Phone: 631-669-5355 | |
Ms. Eileen Hunt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 373 Sunrise Hwy, West Babylon, NY 11704 Phone: 631-422-3377 Fax: 631-422-3382 | |
Amy Eimer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Little East Neck Rd, West Babylon, NY 11704 Phone: 631-321-1045 | |
Mr. Rowan Lindsay, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 17 Fordham Rd, West Babylon, NY 11704 Phone: 347-224-3842 | |
Lauren Misuraca, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Straight Path, West Babylon, NY 11704 Phone: 631-957-0066 | |
Kate Regan Azab, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501a W Montauk Hwy, West Babylon, NY 11704 Phone: 401-207-7394 |