| Emily T Etzkorn, MD | |
|
5010 State Highway 30, Suite G-02, Amsterdam, NY 12010-7532 | |
| (518) 842-0017 | |
| (518) 842-7545 |
| Full Name | Emily T Etzkorn |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 5010 State Highway 30, Amsterdam, 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 |
|---|---|---|---|
| 1871554543 | NPI | - | NPPES |
| 02047565 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2024171 (New York) | Primary |
| 208000000X | Pediatrics | 2024171 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home (ballston Lake) | Ballston lake, NY | Home health agency |
| St Mary's Healthcare | Amsterdam, NY | Hospital |
| Wilkinson Residential Health Care Facility | Amsterdam, NY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emily T. Etzkorn, M.d., P.c. | 1557554235 | 3 |
| Entity Name | Emily T. Etzkorn, M.d., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396856530 PECOS PAC ID: 1557554235 Enrollment ID: O20101026001217 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily T Etzkorn, MD 5010 State Highway 30, Suite G-02, Amsterdam, NY 12010-7532 Ph: (518) 842-0017 | Emily T Etzkorn, MD 5010 State Highway 30, Suite G-02, Amsterdam, NY 12010-7532 Ph: (518) 842-0017 |
Nancy S Knudsen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 427 Guy Park Ave, St Marys Hospital, Amsterdam, NY 12010 Phone: 518-842-1900 Fax: 518-841-7131 | |
Dr. Deborah A Sculco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4950 State Highway 30, Cancer Medicine Center, Amsterdam, NY 12010 Phone: 518-770-7557 Fax: 518-770-7558 | |
Dr. Soo Gil Lee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5010 St Hwy 30, Ste 201, Amsterdam, NY 12010 Phone: 518-842-7161 Fax: 518-842-0797 | |
Karen Tedesco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Riverfront Ctr, Amsterdam, NY 12010 Phone: 518-843-0020 Fax: 518-843-0023 | |
Dr. Michael Finnegan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Guy Park Ave, Suite 102, Amsterdam, NY 12010 Phone: 518-843-1240 | |
Jay Zimmerman, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 425 Guy Park Ave, Suite 102, Amsterdam, NY 12010 Phone: 518-843-1240 Fax: 518-843-0753 | |
Robert H Goslin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1700 Riverfront Ctr, Amsterdam, NY 12010 Phone: 518-843-0020 Fax: 518-843-0023 |