| Family Medicine Of Carthage Pc | |
|
214 Church St Carthage NY 13619-1212 | |
| (315) 493-0128 | |
| (315) 493-6200 |
| Full Name | Family Medicine Of Carthage Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 214 Church St, Carthage, New York |
| Authorized Official Name and Position | Jocelyn C Beane (OWNER) |
| Authorized Official Contact | 3154930128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Carthage Pc 214 Church St Carthage NY 13619-1212 Ph: (315) 493-0128 | Family Medicine Of Carthage Pc 214 Church St Carthage NY 13619-1212 Ph: (315) 493-0128 |
| NPI Number | 1770678559 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 01/08/2023 |
| Medicare PECOS PAC ID | 3072591262 |
|---|---|
| Medicare Enrollment ID | O20040713001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770678559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jocelyn C Beane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649242744 PECOS PAC ID: 1951389154 Enrollment ID: I20040713001277 |
| Provider Name | Jamaica Mariae Del Rosario Tobias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225430549 PECOS PAC ID: 7810367737 Enrollment ID: I20230110000697 |
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