Jamie Bodenlos, | |
73 Cherry Tree Cir, Liverpool, NY 13090-2451 | |
(508) 414-6621 | |
Not Available |
Full Name | Jamie Bodenlos |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 73 Cherry Tree Cir, Liverpool, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316369416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 019183 (New York) | Primary |
Entity Name | Innovative Medical Practice Of New York, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861800146 PECOS PAC ID: 5092088237 Enrollment ID: O20200501000166 |
Mailing Address | Practice Location Address |
---|---|
Jamie Bodenlos, 73 Cherry Tree Cir, Liverpool, NY 13090-2451 Ph: () - | Jamie Bodenlos, 73 Cherry Tree Cir, Liverpool, NY 13090-2451 Ph: (508) 414-6621 |
Amy Cambareri, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4820 W Taft Rd, Suite 108, Liverpool, NY 13088 Phone: 315-546-4743 | |
Jennifer Towsley, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Continuum Dr Ste 1a, Liverpool, NY 13088 Phone: 315-450-4898 | |
Dr. Theodore Morgan Nnaji, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 7711 Oswego Rd, Liverpool, NY 13090 Phone: 937-304-5930 | |
Mr. Clifford Lawrence Ivers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Oswego Street Suite A, Clifford Ivers Phd, Liverpool, NY 13088 Phone: 315-451-0202 Fax: 315-451-6667 | |
Dr. Mary Elizabeth Bartek, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 890 7th North St, Suite 200, Liverpool, NY 13088 Phone: 315-200-1056 Fax: 315-452-2455 | |
Carrie Jessen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Continuum Dr Ste A, Liverpool, NY 13088 Phone: 315-450-4898 | |
Mrs. Isabella Rauh Ivers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Isabella Rauh Ivers Phd, 600 Oswego Street Suite A, Liverpool, NY 13088 Phone: 315-451-0202 Fax: 315-451-6667 |