Sue A Stucker, NP | |
182 Intrepid Ln, Syracuse, NY 13205-2545 | |
(315) 218-7020 | |
Not Available |
Full Name | Sue A Stucker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 182 Intrepid Ln, Syracuse, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346584034 | NPI | - | NPPES |
534902-1 | Other | NY | RN |
F338786 | Other | NY | NP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 534902-1 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F338786 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hcr / Hcr Home Care Chha (east Syracuse) | East syracuse, NY | Home health agency |
Oswego Hospital | Oswego, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Familycare Medical Group Pc | 5193639565 | 110 |
Entity Name | Familycare Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447212063 PECOS PAC ID: 5193639565 Enrollment ID: O20031119000053 |
Mailing Address | Practice Location Address |
---|---|
Sue A Stucker, NP 182 Intrepid Ln, Syracuse, NY 13205-2545 Ph: (315) 218-7020 | Sue A Stucker, NP 182 Intrepid Ln, Syracuse, NY 13205-2545 Ph: (315) 218-7020 |
Janice M Agen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202 Phone: 315-464-5210 Fax: 315-464-2141 | |
Irene S Borja, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
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Nicole Marie Voudren, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-254-6914 Fax: 315-464-8524 | |
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