Ms Kathleen M Gallaway, CPNP | |
130 Center Way, Corning, NY 14830-2255 | |
(607) 936-9971 | |
(607) 936-2600 |
Full Name | Ms Kathleen M Gallaway |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 130 Center Way, Corning, 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 |
---|---|---|---|
1982663456 | NPI | - | NPPES |
01568538 | Medicaid | NY | |
500001501 | Other | NY | RR MEDICARE PIN |
CC8362 | Other | NY | RR MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 369422-1 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | F380308-1 (New York) | Primary |
Entity Name | Guthrie Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathleen M Gallaway, CPNP 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Ms Kathleen M Gallaway, CPNP 130 Center Way, Corning, NY 14830-2255 Ph: (607) 936-9971 |
Malarkodi Gunasekaran, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-973-8027 Fax: 607-973-8161 | |
Linda J Smith, N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 123 Conhocton St Ste 101, Corning, NY 14830 Phone: 607-438-1200 Fax: 607-438-1221 | |
Diane M Kelly, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Denison Pkwy E, Suite 201, Corning, NY 14830 Phone: 607-936-4143 Fax: 607-936-6836 | |
Ms. Renee Teresa Husted, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600 | |
Tammie Kae Copp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Guthrie Dr, Corning, NY 14830 Phone: 607-973-8000 | |
Karen M Hale, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 176 Denison Pkwy E, Corning, NY 14830 Phone: 607-937-7451 Fax: 607-937-7860 | |
Ms. Kimberly P. Sutryk, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 Conhocton St, Corning, NY 14830 Phone: 607-973-8600 Fax: 607-962-5102 |