| Phg Medical Office, Llp | |
|
1942 Military Tpke Plattsburgh NY 12901-7375 | |
| (518) 310-3644 | |
| (518) 310-3645 |
| Full Name | Phg Medical Office, Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1942 Military Tpke, Plattsburgh, New York |
| Authorized Official Name and Position | Donald M Werner (OWNER) |
| Authorized Official Contact | 5183103644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phg Medical Office, Llp 1942 Military Tpke Plattsburgh NY 12901-7375 Ph: (518) 310-3644 | Phg Medical Office, Llp 1942 Military Tpke Plattsburgh NY 12901-7375 Ph: (518) 310-3644 |
| NPI Number | 1184178121 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 12/01/2016 |
| Medicare PECOS PAC ID | 5193004851 |
|---|---|
| Medicare Enrollment ID | O20161121000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184178121 | NPI | - | NPPES |
| 00577413 | Other | NY | MEDICADE PROVIDER NUMBER |
| 11124926 | Other | NY | CAQH |
| 00577410 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 096889 (New York) | Primary |
| Provider Name | Donald M Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083608665 PECOS PAC ID: 1355425182 Enrollment ID: I20080303000560 |
| Provider Name | Diana Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942461256 PECOS PAC ID: 4981885027 Enrollment ID: I20110223000483 |
| Provider Name | Oleksandr Seleverstov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770841421 PECOS PAC ID: 6608162193 Enrollment ID: I20160909000654 |
| Provider Name | Hannah M Constanty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841806072 PECOS PAC ID: 3971991803 Enrollment ID: I20211026003521 |
| Provider Name | Rena K Brescia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053500876 PECOS PAC ID: 4688066509 Enrollment ID: I20220126000784 |
Primary Care Health Partners - New York Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 159 Margaret St, Plattsburgh, NY 12901 Phone: 518-562-0151 | |
Adirondack Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Cornelia St Ste 404, Plattsburgh, NY 12901 Phone: 518-562-7337 | |
William Pelton, Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 164 Boynton Ave, Plattsburgh, NY 12901 Phone: 518-561-1122 | |
Nader Wassef, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Healey Ave, Plattsburgh, NY 12901 Phone: 518-561-2700 | |
Lake Champlain Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Cornelia St, Suite 303, Plattsburgh, NY 12901 Phone: 518-562-7541 Fax: 518-562-7542 | |
Clinton County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Margaret Street, Plattsburgh, NY 12901 Phone: 518-565-4840 Fax: 518-565-4717 | |
Richard A Webber Dba Lake City Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901 Phone: 518-561-8256 |