Amy Elizabeth Hogan-moulton, MD | |
2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4363 | |
(518) 926-1770 | |
(518) 926-1799 |
Full Name | Amy Elizabeth Hogan-moulton |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 31 Years |
Location | 2 Broad Street Plz, Glens Falls, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730177825 | NPI | - | NPPES |
390006064 | Other | NY | RR MEDICARE |
01824359 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 210381 (New York) | Primary |
207R00000X | Internal Medicine | 210381 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Dci - Rubin Dialysis Centers - Saratoga Springs | Saratoga springs, NY | Dialysis facility |
Dci - Rubin Dialysis Centers - Clifton Park | Clifton park, NY | Dialysis facility |
Glens Falls Hospital | Glens falls, NY | Hospital |
Saratoga Hospital | Saratoga springs, NY | Hospital |
Elizabethtown Community Hospital | Elizabethtown, NY | Hospital |
St Peter's Hospital | Albany, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saratoga Hospital | 6406740273 | 313 |
Saratoga Regional Medical , P.c | 9032438544 | 10 |
Entity Name | Saratoga Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033371166 PECOS PAC ID: 6406740273 Enrollment ID: O20040402000837 |
Entity Name | Saratoga Regional Medical , P.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982094827 PECOS PAC ID: 9032438544 Enrollment ID: O20150505002182 |
Mailing Address | Practice Location Address |
---|---|
Amy Elizabeth Hogan-moulton, MD Po Box 304, Glens Falls, NY 12801-0304 Ph: (518) 926-1770 | Amy Elizabeth Hogan-moulton, MD 2 Broad Street Plz, Broad Street Medical Group, Glens Falls, NY 12801-4363 Ph: (518) 926-1770 |
Robert William Sponzo, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 102 Park St, Cr Wood Cancer Center, Glens Falls, NY 12801 Phone: 518-926-6620 Fax: 518-926-1954 | |
Dr. Marcille Labban, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 100 Park Street, Glens Falls Hospital - Hospitalist Program, Glens Falls, NY 12801 Phone: 518-926-5925 Fax: 518-926-5917 | |
Joseph Carlton Mihindukulasuriya, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 20 Murray Street, Glens Falls, NY 12801 Phone: 518-798-3838 Fax: 518-798-6125 | |
Ovais Ahmed, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5 Irongate Ctr, Glens Falls, NY 12801 Phone: 518-793-5034 | |
Dr. Eric Anthony Pillemer, M.D., PH.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 102 Park St, Glens Falls, NY 12801 Phone: 518-926-6620 Fax: 518-926-1954 | |
Dr. Michael Chase, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5 Irongate Ctr, Glens Falls, NY 12801 Phone: 518-793-5034 | |
Dr. Stephen Anthony Monn, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 92 Broad St, Glens Falls, NY 12801 Phone: 518-793-9055 |