Ms Jo Anne Maynard, DNP | |
740 County Road 39a, Southampton, NY 11968-5247 | |
(631) 638-7702 | |
Not Available |
Full Name | Ms Jo Anne Maynard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 740 County Road 39a, Southampton, 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 |
---|---|---|---|
1730105792 | NPI | - | NPPES |
02376410 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F301032 (New York) | Primary |
Entity Name | Mskcc Regional Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740251297 PECOS PAC ID: 6608765144 Enrollment ID: O20040312000936 |
Entity Name | Memorial Pulmonary Function Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871564344 PECOS PAC ID: 4880583293 Enrollment ID: O20040313000154 |
Entity Name | North Shore Hematology Oncology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
Entity Name | Meeting House Lane Medical Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089 |
Mailing Address | Practice Location Address |
---|---|
Ms Jo Anne Maynard, DNP 650 Commack Rd, Commack, NY 11725-5404 Ph: (631) 495-5295 | Ms Jo Anne Maynard, DNP 740 County Road 39a, Southampton, NY 11968-5247 Ph: (631) 638-7702 |
Mrs. Eleanor Mellon Dunham, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 335b Meeting House Ln, Southampton, NY 11968 Phone: 631-287-5990 Fax: 631-287-5995 | |
Cristina Fonalledas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8400 | |
Ana Nonneth Espiritu Guiang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8293 Fax: 631-726-8307 | |
Kimberly Britt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8400 | |
Mrs. Lauren St Armand Haizlip, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-3300 | |
Alexandra Peck, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Montauk Hwy, Southampton, NY 11968 Phone: 646-962-9920 | |
Ms. Patricia Blanche Morrison-sasso, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 335b Meeting House Ln, Southampton, NY 11968 Phone: 631-287-5990 |