Mrs Erica Wall, PMHNP | |
23 High St, Chatham, NY 12037-1127 | |
(518) 364-5854 | |
Not Available |
Full Name | Mrs Erica Wall |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 23 High St, Chatham, 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 |
---|---|---|---|
1083152136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 404981 (New York) | Primary |
Entity Name | Columbia County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689618977 PECOS PAC ID: 8022003409 Enrollment ID: O20150305001961 |
Mailing Address | Practice Location Address |
---|---|
Mrs Erica Wall, PMHNP 23 High St, Chatham, NY 12037-1127 Ph: (518) 364-5854 | Mrs Erica Wall, PMHNP 23 High St, Chatham, NY 12037-1127 Ph: (518) 364-5854 |
Ryan Scott Marshall, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29 Jones Ave, Chatham, NY 12037 Phone: 518-392-8600 Fax: 518-392-8601 | |
Amy Kathleen Bartlett-palmer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29 Jones Ave, Chatham, NY 12037 Phone: 518-392-8600 | |
Danine Mcshane, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29 Jones Avenue - Chatham Medical Bldg, Chatham Internal Medicine, Chatham, NY 12037 Phone: 518-392-8600 Fax: 518-392-8601 |