Marie-jeanne Desravines, MD | |
522 S 4th St, Suite 500, Fulton, NY 13069-2946 | |
(315) 598-4740 | |
(315) 598-4719 |
Full Name | Marie-jeanne Desravines |
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Gender | Female |
Speciality | Family Medicine |
Location | 522 S 4th St, Fulton, 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 |
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1285741199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 221962 (New York) | Primary |
Entity Name | Northern Oswego County Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
Mailing Address | Practice Location Address |
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Marie-jeanne Desravines, MD 239 Oneida St, Fulton, NY 13069-1228 Ph: (315) 598-4715 | Marie-jeanne Desravines, MD 522 S 4th St, Suite 500, Fulton, NY 13069-2946 Ph: (315) 598-4740 |
Anne Filipski, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 510 S 4th St, Suite 600, Fulton, NY 13069 Phone: 315-598-4790 | |
Dr. Karl Frederick Hafner, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 98 N 2nd St, Fulton, NY 13069 Phone: 315-598-1220 Fax: 315-598-7541 | |
Dr. Vandana Bhanudas Patil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 522 S 4th St Ste 1700, Fulton, NY 13069 Phone: 315-592-3930 | |
Michael Miller, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 510 S 4th St Ste 600, Fulton, NY 13069 Phone: 315-598-4790 | |
Dr. Esther Lubinga, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Canalview Mall, Fulton, NY 13069 Phone: 315-598-1237 Fax: 315-598-1256 | |
Dr. Dilip K Roy, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 941 S 1st St, Fastcare Family Medical, Fulton, NY 13069 Phone: 315-593-7128 Fax: 315-598-8409 |