| Belong Medical Group Pc | |
|
625 State St Schenectady NY 12305-2111 | |
| (910) 987-3272 | |
| Not Available |
| Full Name | Belong Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 State St, Schenectady, New York |
| Authorized Official Name and Position | Ramon Jacobs-shaw (PRESIDENT) |
| Authorized Official Contact | 9109873272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belong Medical Group Pc 625 State St Schenectady NY 12305-2111 Ph: () - | Belong Medical Group Pc 625 State St Schenectady NY 12305-2111 Ph: (910) 987-3272 |
| NPI Number | 1598478182 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 08/04/2023 |
| Medicare PECOS PAC ID | 7618342668 |
|---|---|
| Medicare Enrollment ID | O20230405002300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598478182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Paolo B Travers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992892418 PECOS PAC ID: 5294787115 Enrollment ID: I20050218000214 |
| Provider Name | Ramon Jacobs-shaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619945326 PECOS PAC ID: 8729089370 Enrollment ID: I20110711000042 |
| Provider Name | Kathleen Lemarie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255769808 PECOS PAC ID: 8426331398 Enrollment ID: I20170220002360 |
| Provider Name | Jordan Douglas Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164916540 PECOS PAC ID: 4587912035 Enrollment ID: I20240415003623 |
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