| Dr Grace D Holmes, MD | |
|
55 Calvary Dr, Norwich, NY 13815-1032 | |
| (607) 336-6362 | |
| (607) 336-2028 |
| Full Name | Dr Grace D Holmes |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 55 Calvary Dr, Norwich, 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 |
|---|---|---|---|
| 1215994546 | NPI | - | NPPES |
| 01013496 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 166300 (New York) | Primary |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grace D Holmes, MD Po Box 725, Cooperstown, NY 13326-0725 Ph: (607) 336-6362 | Dr Grace D Holmes, MD 55 Calvary Dr, Norwich, NY 13815-1032 Ph: (607) 336-6362 |
Jennifer O'reilly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Calvary Dr, Norwich, NY 13815 Phone: 607-336-6362 Fax: 607-336-2028 | |
Dr. Thomas R Holmes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Calvary Dr, Norwich, NY 13815 Phone: 607-336-6362 Fax: 607-336-2028 | |
Dr. Anna Marie Ward, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4040 Fax: 607-337-4076 | |
Mahmoud F Fathalla, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4271 Fax: 607-337-4049 | |
Dr. Mark Anthony Barreto, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4271 Fax: 607-337-4049 | |
Drake Lamen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4114 |