| Dr Shenelle R Gaston, MD | |
|
942a Route 146, Clifton Park, NY 12065 | |
| (518) 371-8000 | |
| (518) 371-5338 |
| Full Name | Dr Shenelle R Gaston |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 942a Route 146, Clifton Park, 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 |
|---|---|---|---|
| 1285733808 | NPI | - | NPPES |
| 47368 | Other | NY | GHI/HMO |
| 552441 | Other | NY | EMPIRE BC |
| 01991042 | Medicaid | NY | |
| 070216000050 | Other | NY | FIDELIS |
| 000490478001 | Other | NY | BSNENY |
| 10032127 | Other | NY | CDPHP |
| 200063 | Other | NY | SENIOR WHOLE HEALTH |
| 26416 | Other | NY | MVP |
| 7347619 | Other | NY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2111981 (New York) | Primary |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shenelle R Gaston, MD 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Dr Shenelle R Gaston, MD 942a Route 146, Clifton Park, NY 12065 Ph: (518) 371-8000 |
Dr. Kristen L Compa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 942a Route 146, Clifton Park, NY 12065 Phone: 518-371-8000 Fax: 518-371-5338 | |
Ying Chen, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1735 Route 9, Clifton Park, NY 12065 Phone: 518-371-5437 | |
Dr. Arsenio George Pascual, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 942a Route 146, Clifton Park, NY 12065 Phone: 518-371-8000 Fax: 518-371-5338 | |
Kathryn Day Parker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 532 Moe Rd, Clifton Park, NY 12065 Phone: 518-383-2425 Fax: 518-383-3255 | |
Holly Denise Payne, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Tallow Wood Dr, Clifton Park, NY 12065 Phone: 518-688-0295 | |
Dr. Kimberly Karol Elmer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 532 Moe Rd, Clifton Park, Clifton Park, NY 12065 Phone: 518-383-2425 Fax: 518-383-3255 |