Mallory Sprague, MD | |
49 Lawrence Ave, Potsdam, NY 13676-1889 | |
(315) 261-5550 | |
Not Available |
Full Name | Mallory Sprague |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 49 Lawrence Ave, Potsdam, 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 |
---|---|---|---|
1366891632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 301774 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Health Services Of Northern New York Inc Chha | Potsdam, NY | Home health agency |
Northern Lights Home Health Care | Canton, NY | Home health agency |
Canton-potsdam Hospital | Potsdam, NY | Hospital |
Claxton-hepburn Medical Center | Ogdensburg, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Canton-potsdam Hospital | 6204827280 | 197 |
Canton-potsdam Medical Practice Pllc | 6507090883 | 2 |
Entity Name | Canton-potsdam Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
Entity Name | Canton-potsdam Medical Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760821417 PECOS PAC ID: 6507090883 Enrollment ID: O20130930000502 |
Mailing Address | Practice Location Address |
---|---|
Mallory Sprague, MD 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 | Mallory Sprague, MD 49 Lawrence Ave, Potsdam, NY 13676-1889 Ph: (315) 261-5550 |
Vineet Bansal, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 Fax: 315-261-5597 | |
Dr. Alecia Acee Vanwagner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Avuenue, Potsdam, NY 13676 Phone: 315-261-5550 Fax: 315-261-5598 | |
Dr. Timothy K Atkinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-6410 | |
Dr. Aaron E Fuller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 Fax: 315-261-5599 | |
Roshanak Salehi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Dr. Emily Louise Wood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-384-4881 Fax: 315-384-4905 |