Diana Fowler, | |
4 West Genesee Street, Clyde, NY 14433 | |
(315) 923-3640 | |
Not Available |
Full Name | Diana Fowler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 4 West Genesee Street, Clyde, 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 |
---|---|---|---|
1043556434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F337382-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Auburn Memorial Medical Services Pc | 6406931385 | 100 |
Entity Name | Auburn Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093712911 PECOS PAC ID: 2365346525 Enrollment ID: O20031120000617 |
Entity Name | Rochester General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | Newark Wayne Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
Entity Name | Auburn Memorial Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194913749 PECOS PAC ID: 6406931385 Enrollment ID: O20080318000053 |
Entity Name | Flh Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215174644 PECOS PAC ID: 6507922358 Enrollment ID: O20090304000165 |
Entity Name | Soldiers & Sailors Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1215044516 PECOS PAC ID: 0446164255 Enrollment ID: O20210407000450 |
Mailing Address | Practice Location Address |
---|---|
Diana Fowler, 4 W Genesee St, Clyde, NY 14433-1126 Ph: (315) 923-3640 | Diana Fowler, 4 West Genesee Street, Clyde, NY 14433 Ph: (315) 923-3640 |
Ms. Lisa Everett, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 W Genesee St, Clyde Family Health Center, Clyde, NY 14433 Phone: 315-923-3640 |