| Dr Kerry E Whittemore, MD | |
|
154 Warren St, Glens Falls, NY 12801-4526 | |
| (518) 798-9985 | |
| Not Available |
| Full Name | Dr Kerry E Whittemore |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 154 Warren St, Glens Falls, 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 |
|---|---|---|---|
| 1942455589 | NPI | - | NPPES |
| 03418802 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 7470006-1205 (Utah) | Secondary |
| 208000000X | Pediatrics | 263814 (New York) | Primary |
| Entity Name | University Of Utah Community Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kerry E Whittemore, MD 154 Warren St, Glens Falls, NY 12801-4526 Ph: (518) 798-9985 | Dr Kerry E Whittemore, MD 154 Warren St, Glens Falls, NY 12801-4526 Ph: (518) 798-9985 |
Kate Shelburne, D.O Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Lawrence St, Glens Falls, NY 12801 Phone: 518-798-9985 | |
Dr. Amy E. Mcgarry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 154 Warren Street, Glens Falls, NY 12801 Phone: 518-798-9985 Fax: 518-761-7043 | |
Dr. Roger F Levac, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 84 Broad St, Glens Falls, NY 12801 Phone: 518-798-9538 Fax: 518-798-9576 | |
Lauren M Meilhede, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 84 Broad St, Glens Falls, NY 12801 Phone: 518-798-9538 | |
Stuart B Wright, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 154 Warren St, Glens Falls, NY 12801 Phone: 518-798-9985 Fax: 518-761-7043 | |
Susan E Moore, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 154 Warren St, Glens Falls, NY 12801 Phone: 518-798-9985 Fax: 518-761-7043 | |
Dr. Melody Kinsley, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 84 Broad St, Glens Falls, NY 12801 Phone: 518-798-9538 |