Olive Tree Medical Associates Pllc | |
7505 Foote Rd Clinton NY 13323-3403 | |
(315) 269-4063 | |
(315) 338-5407 |
Full Name | Olive Tree Medical Associates Pllc |
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Speciality | Family Medicine |
Location | 7505 Foote Rd, Clinton, New York |
Authorized Official Name and Position | Brian Chase (OWNER) |
Authorized Official Contact | 3152694063 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Olive Tree Medical Associates Pllc 7505 Foote Rd Clinton NY 13323-3403 Ph: (315) 269-4063 | Olive Tree Medical Associates Pllc 7505 Foote Rd Clinton NY 13323-3403 Ph: (315) 269-4063 |
NPI Number | 1851762173 |
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Provider Enumeration Date | 10/13/2015 |
Last Update Date | 10/13/2015 |
Medicare PECOS PAC ID | 3072814383 |
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Medicare Enrollment ID | O20151210001045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851762173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 253515 (New York) | Primary |
Provider Name | Brian J Chase |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881847598 PECOS PAC ID: 1759434475 Enrollment ID: I20090728000783 |
Provider Name | Shannon Meyers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164653622 PECOS PAC ID: 2466597398 Enrollment ID: I20100303000859 |
Provider Name | Lisa C Anweiler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104054428 PECOS PAC ID: 8123154044 Enrollment ID: I20100330001269 |
Provider Name | Maxine E Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447487418 PECOS PAC ID: 8426188319 Enrollment ID: I20100621000340 |
Provider Name | Elizabeth M Checola |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326334590 PECOS PAC ID: 2163692732 Enrollment ID: I20110909002593 |
Provider Name | John A Pylman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053560805 PECOS PAC ID: 3072744465 Enrollment ID: I20140328000245 |
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