Shayla Tatham, | |
45 W Main St, Cuba, NY 14727-1403 | |
(585) 968-1628 | |
Not Available |
Full Name | Shayla Tatham |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 45 W Main St, Cuba, 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 |
---|---|---|---|
1407549066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 351972 (New York) | Primary |
Entity Name | Olean Medical Practice Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285384412 PECOS PAC ID: 0042698045 Enrollment ID: O20220603000542 |
Mailing Address | Practice Location Address |
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Shayla Tatham, 535 Main St, Olean, NY 14760-1500 Ph: () - | Shayla Tatham, 45 W Main St, Cuba, NY 14727-1403 Ph: (585) 968-1628 |
Sandy A Jackson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Center St, Cuba, NY 14727 Phone: 585-968-3210 | |
Robin C Aftuck, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 W Main St, Cuba, NY 14727 Phone: 716-375-7500 Fax: 716-701-6888 | |
Mr. Brad Pecherzewski, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Center St, Cuba, NY 14727 Phone: 585-968-3210 Fax: 585-968-3031 | |
Mrs. Deborah Anne Hughes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Center Street, Cuba, NY 14727 Phone: 585-968-4357 Fax: 585-968-4356 | |
Nicole Drake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 W Main St, Cuba, NY 14727 Phone: 585-968-1628 | |
Ruth A Brewer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 W Main St, Cuba, NY 14727 Phone: 585-968-2000 Fax: 585-968-0371 |