| Intention Internal Medicine, Pllc | |
|
609 N Franklin St Watkins Glen NY 14891-1302 | |
| (607) 210-6111 | |
| (607) 210-6110 |
| Full Name | Intention Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 609 N Franklin St, Watkins Glen, New York |
| Authorized Official Name and Position | Shannon Schamel (OWNER) |
| Authorized Official Contact | 6072274165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intention Internal Medicine, Pllc 609 N Franklin St Watkins Glen NY 14891-1302 Ph: (607) 210-6111 | Intention Internal Medicine, Pllc 609 N Franklin St Watkins Glen NY 14891-1302 Ph: (607) 210-6111 |
| NPI Number | 1134998156 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 6901240621 |
|---|---|
| Medicare Enrollment ID | O20240221000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134998156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shannon S Schamel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508157678 PECOS PAC ID: 5799904496 Enrollment ID: I20140911000574 |
Guthrie Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 1st St, Watkins Glen, NY 14891 Phone: 607-535-2403 Fax: 607-535-2537 |