Hilltown Healthcare Np Family Pllc | |
1705 Helderberg Trail Berne NY 12023 | |
(518) 872-0009 | |
(518) 874-0961 |
Full Name | Hilltown Healthcare Np Family Pllc |
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Speciality | Family Medicine |
Location | 1705 Helderberg Trail, Berne, New York |
Authorized Official Name and Position | Jill Martin (OWNER) |
Authorized Official Contact | 5188722738 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hilltown Healthcare Np Family Pllc 1705 Helderberg Trail Berne NY 12023 Ph: (518) 872-0009 | Hilltown Healthcare Np Family Pllc 1705 Helderberg Trail Berne NY 12023 Ph: (518) 872-0009 |
NPI Number | 1992350961 |
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Provider Enumeration Date | 08/07/2019 |
Last Update Date | 01/03/2023 |
Medicare PECOS PAC ID | 1658602669 |
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Medicare Enrollment ID | O20191004002577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992350961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jill M Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013109354 PECOS PAC ID: 6800965856 Enrollment ID: I20080517000055 |
Provider Name | Savannah Wagoner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295433241 PECOS PAC ID: 7113392515 Enrollment ID: I20230418000958 |
Gary J Kolanchick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1772 Helderberg Trl, Berne, NY 12023 Phone: 518-872-9262 Fax: 518-872-9265 | |
Capitalcare Family Practice Berne Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1772 Helderberg Trl, Berne, NY 12023 Phone: 518-872-9262 Fax: 518-872-9265 |