North Wind Primary Care Pllc | |
459 Margaret St Plattsburgh NY 12901-4605 | |
(518) 563-6348 | |
Not Available |
Full Name | North Wind Primary Care Pllc |
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Speciality | Internal Medicine |
Location | 459 Margaret St, Plattsburgh, New York |
Authorized Official Name and Position | Joy Good (CREDENTIALING MANAGER) |
Authorized Official Contact | 5185726315 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Wind Primary Care Pllc 459 Margaret St Plattsburgh NY 12901-4605 Ph: (518) 563-6348 | North Wind Primary Care Pllc 459 Margaret St Plattsburgh NY 12901-4605 Ph: (518) 563-6348 |
NPI Number | 1629646690 |
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Provider Enumeration Date | 06/15/2021 |
Last Update Date | 06/15/2021 |
Medicare PECOS PAC ID | 4587066956 |
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Medicare Enrollment ID | O20210707002626 |
Identifier | Type | State | Issuer |
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1629646690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Robert L Benak |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063423523 PECOS PAC ID: 3476552878 Enrollment ID: I20061213000082 |
Provider Name | Lynn E Schneider |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558371344 PECOS PAC ID: 3476624487 Enrollment ID: I20080619000120 |
Provider Name | Carla K Hausrath |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508095399 PECOS PAC ID: 5698816759 Enrollment ID: I20100112000104 |
Provider Name | Johnnie J Wren |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073045746 PECOS PAC ID: 0941613566 Enrollment ID: I20201228002160 |
Provider Name | Hannah M Constanty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841806072 PECOS PAC ID: 3971991803 Enrollment ID: I20211026003521 |
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