Traci Raynor, NP | |
34 N Main St, Warsaw, NY 14569-1326 | |
(585) 786-0220 | |
(585) 786-3631 |
Full Name | Traci Raynor |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 34 N Main St, Warsaw, 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 |
---|---|---|---|
1336534767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 634401 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 401890 (New York) | Primary |
Entity Name | Upmc Chautauqua At Wca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295033298 PECOS PAC ID: 4385630342 Enrollment ID: O20040423000846 |
Mailing Address | Practice Location Address |
---|---|
Traci Raynor, NP 227 Thorn Ave, Orchard Park, NY 14127-2600 Ph: (716) 662-2040 | Traci Raynor, NP 34 N Main St, Warsaw, NY 14569-1326 Ph: (585) 786-0220 |
Ms. Renee Groh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-2233 Fax: 585-786-1232 | |
Mrs. Mary T Richards, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 S Main St, Warsaw, NY 14569 Phone: 585-228-1195 | |
Mr. Kyle Andrew Wiktor, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-1555 | |
Jacquelyn Janes, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-2233 | |
Lisa Marie Kemp, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-2233 | |
Ms. Carrie M Vangrol, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 N Main St, Warsaw, NY 14569 Phone: 585-786-0333 Fax: 585-786-0336 | |
Kirsten Perry, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-2233 |