Mrs Jane F Gotthardt, N P | |
2 Titus Pl, Walton, NY 13856-1455 | |
(607) 865-2100 | |
Not Available |
Full Name | Mrs Jane F Gotthardt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2 Titus Pl, Walton, 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 |
---|---|---|---|
1871716282 | NPI | - | NPPES |
365737-1 | Other | NY | FAMILY NURSE PRACTITIONER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 365737-01 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F331819-01 (New York) | Primary |
Entity Name | United Health Services Hospitals, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
Entity Name | Delaware Valley Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144312646 PECOS PAC ID: 2860388337 Enrollment ID: O20040223001307 |
Entity Name | Westchester Medical Center Advanced Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
Entity Name | Margaretville Nursing Home Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194993238 PECOS PAC ID: 8921990946 Enrollment ID: O20111202000080 |
Entity Name | Delaware Valley Hospital Inc. |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1417940719 PECOS PAC ID: 2860388337 Enrollment ID: O20210611000846 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jane F Gotthardt, N P 1122 Kerryville Rd, Hancock, NY 13783-3900 Ph: (607) 422-7656 | Mrs Jane F Gotthardt, N P 2 Titus Pl, Walton, NY 13856-1455 Ph: (607) 865-2100 |
Stephanie Marie Dionne, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 North St, Walton, NY 13856 Phone: 607-865-6541 | |
Nicholas Knibbs, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 North St, Walton, NY 13856 Phone: 607-865-6541 Fax: 607-865-9164 | |
Mrs. Jennifer L Grigoli, PMHNP, DNS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 243 Delaware St, Walton, NY 13856 Phone: 604-832-5888 | |
Cynthia M Cantwell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Titus Place, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305 | |
Shasta Treadway, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305 | |
Emily Seymour, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 | |
Janice Bowker, A.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 North St, Walton, NY 13856 Phone: 607-865-6541 Fax: 607-865-1964 |