Stacey Ann Walker, MD | |
112 Kimball Ave, Penn Yan, NY 14527-1816 | |
(315) 536-2752 | |
(315) 536-4005 |
Full Name | Stacey Ann Walker |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 112 Kimball Ave, Penn Yan, 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 |
---|---|---|---|
1386668655 | NPI | - | NPPES |
239852 | Other | NY | LICENSE |
02799228 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 239852 (New York) | Primary |
208000000X | Pediatrics | 239852 (New York) | Secondary |
Entity Name | Finger Lakes Migrant Health Care Project, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114198819 PECOS PAC ID: 0244251486 Enrollment ID: O20051215000087 |
Entity Name | Greater Rochester Immediate Medical Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295064103 PECOS PAC ID: 8123158078 Enrollment ID: O20100619000043 |
Entity Name | State Of New York Comptrollers Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
---|---|
Stacey Ann Walker, MD 14 Maiden Ln, Po Box 423, Penn Yan, NY 14527-1208 Ph: (315) 531-9102 | Stacey Ann Walker, MD 112 Kimball Ave, Penn Yan, NY 14527-1816 Ph: (315) 536-2752 |
Regina Zvitkovitz Lilly, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 418 N Main St, Penn Yan, NY 14527 Phone: 315-787-4000 Fax: 315-536-0430 | |
Dr. Norman William Lindenmuth, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 418 North Main Street, Penn Yan, NY 14527 Phone: 315-536-3308 Fax: 315-536-0430 | |
Taryn Price Draxler, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 418 N Main St, Keuka Health Care, Penn Yan, NY 14527 Phone: 315-536-3308 | |
Dr. Eleanor Hinds De Witt, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 418 N Main St, Penn Yan, NY 14527 Phone: 315-531-2944 Fax: 315-536-0430 |