| Holly Denise Payne, MD | |
|
1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | |
| (518) 688-0295 | |
| Not Available |
| Full Name | Holly Denise Payne |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1 Tallow Wood Dr, 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 |
|---|---|---|---|
| 1225399322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 48383 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 313869 (New York) | Primary |
| Entity Name | Samaritan Hospital Of Troy, New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Denise Payne, MD Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634 | Holly Denise Payne, MD 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 Ph: (518) 688-0295 |
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 | |
Dr. Shenelle R. Gaston, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 942a Route 146, Clifton Park, NY 12065 Phone: 518-371-8000 Fax: 518-371-5338 | |
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 |