Vanessa Homicil, | |
28 Michele Ln, Yaphank, NY 11980-9632 | |
(631) 599-3404 | |
Not Available |
Full Name | Vanessa Homicil |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 28 Michele Ln, Yaphank, 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 |
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1306242334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 692903-1 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP023501 (Pennsylvania) | Primary |
Entity Name | Minuteclinic Diagnostic Of Pennsylvania Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881738037 PECOS PAC ID: 5395827307 Enrollment ID: O20080130000250 |
Mailing Address | Practice Location Address |
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Vanessa Homicil, 28 Michele Ln, Yaphank, NY 11980-9632 Ph: () - | Vanessa Homicil, 28 Michele Ln, Yaphank, NY 11980-9632 Ph: (631) 599-3404 |
Mrs. Wieslawa Zofia Stelzel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Glover Drive, Jj Foley Snf Suffolk County Department Of Health, Yaphank, NY 11980 Phone: 631-852-4400 | |
Neva Bellamy, D.C.P., NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29 Rustic Rd, Yaphank, NY 11980 Phone: 631-566-4325 | |
Mrs. Gail Kellner, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Glover Dr, Yaphank, NY 11980 Phone: 631-852-4400 |