| Adirondack Medical Center-hospitalists | |
|
2233 State Route 86 Saranac Lake NY 12983-5644 | |
| (518) 897-2479 | |
| (518) 897-2530 |
| Full Name | Adirondack Medical Center-hospitalists |
|---|---|
| Speciality | Hospitalist |
| Location | 2233 State Route 86, Saranac Lake, New York |
| Authorized Official Name and Position | Adele Pickreign (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5188974725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adirondack Medical Center-hospitalists Po Box 1380 Saranac Lake NY 12983-7380 Ph: (518) 897-2479 | Adirondack Medical Center-hospitalists 2233 State Route 86 Saranac Lake NY 12983-5644 Ph: (518) 897-2479 |
| NPI Number | 1487183174 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 9638081284 |
|---|---|
| Medicare Enrollment ID | O20170823002656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487183174 | NPI | - | NPPES |
| 00363213 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Romen K Jha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144262072 PECOS PAC ID: 2062307184 Enrollment ID: I20040218000340 |
| Provider Name | John A Esper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932272044 PECOS PAC ID: 1557344777 Enrollment ID: I20040609001049 |
| Provider Name | Timothy K Atkinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346239308 PECOS PAC ID: 4688565070 Enrollment ID: I20050621000891 |
| Provider Name | Monika C Zimna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104918721 PECOS PAC ID: 2961505326 Enrollment ID: I20070306000184 |
| Provider Name | Mark P Speicher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346215845 PECOS PAC ID: 0244312775 Enrollment ID: I20080123000520 |
| Provider Name | Paul G El Azoury |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225219884 PECOS PAC ID: 2163615626 Enrollment ID: I20101018000576 |
| Provider Name | Denis Valentin Kapkov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043466022 PECOS PAC ID: 3476747700 Enrollment ID: I20101101000905 |
| Provider Name | Andrei Cepoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043492127 PECOS PAC ID: 2163575564 Enrollment ID: I20110727000576 |
| Provider Name | Eric W Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447541271 PECOS PAC ID: 2668699893 Enrollment ID: I20140813000030 |
| Provider Name | Ajitpal S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669768016 PECOS PAC ID: 6800198128 Enrollment ID: I20160104002009 |
| Provider Name | Jungsik Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831487180 PECOS PAC ID: 3173745122 Enrollment ID: I20160531002318 |
| Provider Name | Amy B Corliss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194750539 PECOS PAC ID: 2163426990 Enrollment ID: I20201104001011 |
| Provider Name | Eugene Aprn Chin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154903789 PECOS PAC ID: 3072901479 Enrollment ID: I20211103001442 |
| Provider Name | Christopher D Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174253231 PECOS PAC ID: 8426428814 Enrollment ID: I20221229000809 |
| Provider Name | Erin E Ricci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699238253 PECOS PAC ID: 0042680019 Enrollment ID: I20231002003575 |
Adirondack Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2249 State Route 86, Suite 3, Saranac Lake, NY 12983 Phone: 518-891-3845 Fax: 518-891-1236 | |
Medical Associates Of Saranac Lake Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Main Street, Saranac Lake, NY 12983 Phone: 518-891-4000 Fax: 518-891-2598 | |
North Country Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 County Route 47, Suite 1, Saranac Lake, NY 12983 Phone: 518-891-2688 Fax: 518-891-4120 | |
Adirondack Health Regional Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 State Route 86, Saranac Lake, NY 12983 Phone: 518-897-2479 Fax: 518-897-2530 | |
Hudson Headwaters Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2249 State Route 86 Ste 3, Saranac Lake, NY 12983 Phone: 518-891-3845 Fax: 518-891-1236 |