Noel Lawton Bloomfield Ii, | |
49 Lawrence Ave, Potsdam, NY 13676-1889 | |
(315) 274-9075 | |
Not Available |
Full Name | Noel Lawton Bloomfield Ii |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 49 Lawrence Ave, Potsdam, 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 |
---|---|---|---|
1194478875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 354356 (New York) | Primary |
Entity Name | Canton-potsdam Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
Entity Name | Massena Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972604460 PECOS PAC ID: 1456781491 Enrollment ID: O20200515000493 |
Mailing Address | Practice Location Address |
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Noel Lawton Bloomfield Ii, 50 Leroy St, Potsdam, NY 13676-1786 Ph: () - | Noel Lawton Bloomfield Ii, 49 Lawrence Ave, Potsdam, NY 13676-1889 Ph: (315) 274-9075 |
Matthew Bonner Mclain, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Ms. Lucille Lyda Hanson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Market St, Potsdam, NY 13676 Phone: 315-274-7003 Fax: 315-425-2653 | |
Tayla Lyn Durant, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-9271 | |
Mr. Joseph John Adams Iv, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Judith Leach Chagnon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Student Health Ctr, Clarkson University, Potsdam, NY 13699 Phone: 315-268-6633 | |
Matthew Clark Jenison, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |