Tracy Bova, | |
13407 New York 12, Boonville, NY 13309 | |
(315) 942-3500 | |
Not Available |
Full Name | Tracy Bova |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 13407 New York 12, Boonville, 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 |
---|---|---|---|
1104058791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 00676527 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 338872 (New York) | Primary |
Entity Name | Wellnow Urgent Care, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20170118001953 |
Mailing Address | Practice Location Address |
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Tracy Bova, 511 Tilden Ave, Utica, NY 13501-2007 Ph: () - | Tracy Bova, 13407 New York 12, Boonville, NY 13309 Ph: (315) 942-3500 |
Ann F Mellen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13407 State Route 12, Boonville, NY 13309 Phone: 315-942-3500 Fax: 315-942-3618 | |
Patricia Bates, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 232 Academy St, Boonville, NY 13309 Phone: 315-942-4301 | |
Elizabeth Gleasman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13407 State Route 12, Boonville, NY 13309 Phone: 315-942-3500 Fax: 315-942-3618 | |
Amanda Lampman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13407 State Route 12, Boonville, NY 13309 Phone: 315-404-6894 | |
Leah Boek, MSN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13407 Ny-12, Boonville, NY 13309 Phone: 315-942-3500 |