| 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 | 33 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 |
| Albany Medical Center Hospital | Albany, NY | Hospital |
| St Peter's Hospital | Albany, NY | Hospital |
| Elizabethtown Community Hospital | Elizabethtown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saratoga Hospital | 6406740273 | 327 |
| Saratoga Regional Medical , P.c | 9032438544 | 18 |
| 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: Medicare Enrolled 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 |