| Tompkins County Health Department Clinic | |
|
55 Brown Rd Ithaca NY 14850-1247 | |
| (607) 274-6616 | |
| (607) 274-6620 |
| Full Name | Tompkins County Health Department Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 Brown Rd, Ithaca, New York |
| Authorized Official Name and Position | Brenda L Grinnell-crosby (PUBLIC HEALTH ADMINISTRATOR) |
| Authorized Official Contact | 6072746677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tompkins County Health Department Clinic 55 Brown Rd Ithaca NY 14850-1247 Ph: (607) 274-6616 | Tompkins County Health Department Clinic 55 Brown Rd Ithaca NY 14850-1247 Ph: (607) 274-6616 |
| NPI Number | 1306995642 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 01/02/2013 |
| Medicare PECOS PAC ID | 0143210443 |
|---|---|
| Medicare Enrollment ID | O20101004001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306995642 | NPI | - | NPPES |
| 000900819000 | Other | HEALTH NOW | |
| 00356258 | Medicaid | NY | |
| 7744090 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (New York) | Primary |
| Provider Name | William A Klepack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417902693 PECOS PAC ID: 1557371978 Enrollment ID: I20100812000632 |
| Provider Name | Karen Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902838196 PECOS PAC ID: 8921285693 Enrollment ID: I20110606000543 |
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Reach Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 N Cayuga St, Ithaca, NY 14850 Phone: 607-273-7000 Fax: 607-273-7001 | |
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24 On Physician New York, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4191 Fax: 607-274-4198 |