| North Country Family Medicine Pllc | |
|
428 Washington St Ste 4 Watertown NY 13601-4832 | |
| (315) 788-4880 | |
| (315) 788-4896 |
| Full Name | North Country Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 428 Washington St, Watertown, New York |
| Authorized Official Name and Position | Jon A Emerton (OWNER/DIRECTOR) |
| Authorized Official Contact | 3157884880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Family Medicine Pllc 445 Factory St Po Box 91 Watertown NY 13601-2729 Ph: (315) 782-4207 | North Country Family Medicine Pllc 428 Washington St Ste 4 Watertown NY 13601-4832 Ph: (315) 788-4880 |
| NPI Number | 1184883555 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 03/31/2020 |
| Medicare PECOS PAC ID | 9032282330 |
|---|---|
| Medicare Enrollment ID | O20080721000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184883555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 227318 (New York) | Primary |
| Provider Name | Jon A Emerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144279977 PECOS PAC ID: 0941373237 Enrollment ID: I20080721000016 |
| Provider Name | Paul Douglas Barter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679550552 PECOS PAC ID: 0941228720 Enrollment ID: I20100812000832 |
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