North Country Family Practice | |
5976 Route 25a Wading River NY 11792-2001 | |
(631) 929-9700 | |
(631) 929-9702 |
Full Name | North Country Family Practice |
---|---|
Speciality | Clinic/Center |
Location | 5976 Route 25a, Wading River, New York |
Authorized Official Name and Position | Marion R Golden (OWNER/DNP) |
Authorized Official Contact | 6319299700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
North Country Family Practice 5976 Route 25a Wading River NY 11792-2001 Ph: (631) 929-9700 | North Country Family Practice 5976 Route 25a Wading River NY 11792-2001 Ph: (631) 929-9700 |
NPI Number | 1619206802 |
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Provider Enumeration Date | 12/17/2009 |
Last Update Date | 12/17/2009 |
Medicare PECOS PAC ID | 8325171705 |
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Medicare Enrollment ID | O20100805000619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619206802 | NPI | - | NPPES |
145219 | Other | VYTRA | |
8051992-003 | Other | CIGNA | |
9712429 | Other | GHI | |
2268928 | Other | UNITED HEALTHCARE | |
112665191 | Other | PHCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 332738 (New York) | Primary |
Provider Name | Marion R Golden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013995950 PECOS PAC ID: 0648273896 Enrollment ID: I20060809000140 |
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Wading River Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5972 Route 25a, Wading River, NY 11792 Phone: 631-929-0304 | |
Brodbeck Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5976 Route 25a, Wading River, NY 11792 Phone: 631-345-3035 Fax: 631-345-3244 | |
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Robert Bernard M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6144 Route 25a Bldg C, Suite 10, Wading River, NY 11792 Phone: 631-929-5900 Fax: 631-929-6487 | |
C Jay's Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6144 Route 25a Ste 9, Wading River, NY 11792 Phone: 631-793-6397 |