| Hamerton David Jeanty, MD | |
|
1656 Champlin Ave, Utica, NY 13502-4830 | |
| (315) 624-6829 | |
| (315) 624-6469 |
| Full Name | Hamerton David Jeanty |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1656 Champlin Ave, Utica, 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 |
|---|---|---|---|
| 1215297882 | NPI | - | NPPES |
| 04630695 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28707801 (New York) | Secondary |
| 208M00000X | Hospitalist | 287078 (New York) | Primary |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Entity Name | New York General Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210831002021 |
| Entity Name | Cs Pacs 3 Northeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093598898 PECOS PAC ID: 0941656607 Enrollment ID: O20231101000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Hamerton David Jeanty, MD 2209 Genesee Street, Business Office Room 315, Utica, NY 13501 Ph: (315) 801-3282 | Hamerton David Jeanty, MD 1656 Champlin Ave, Utica, NY 13502-4830 Ph: (315) 624-6829 |
Goutham K Malempati, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-6467 Fax: 315-624-6469 | |
William Jorgensen, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 2209 Genesee St, Hospitalist Program, Utica, NY 13501 Phone: 315-798-8263 Fax: 315-734-4988 | |
David G Mcmurray, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-6000 | |
Ranjit Mandhare, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2209 Genesee St, Utica, NY 13501 Phone: 315-801-8263 Fax: 315-801-4988 |