| Kathleen P Huestis, MD | |
|
102 Race Track Rd, Ticonderoga, NY 12883-4004 | |
| (518) 585-6708 | |
| (518) 585-3260 |
| Full Name | Kathleen P Huestis |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 102 Race Track Rd, Ticonderoga, 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 |
|---|---|---|---|
| 1255595641 | NPI | - | NPPES |
| 03255272 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 257880 (New York) | Primary |
| Entity Name | Saratoga Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033371166 PECOS PAC ID: 6406740273 Enrollment ID: O20040402000837 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen P Huestis, MD 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Kathleen P Huestis, MD 102 Race Track Rd, Ticonderoga, NY 12883-4004 Ph: (518) 585-6708 |
Emily Triplett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Adirondack Dr Ste 2, Ticonderoga, NY 12883 Phone: 518-585-6708 Fax: 518-585-3260 | |
Glen D Chapman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Race Track Rd, Suite 1, Ticonderoga, NY 12883 Phone: 518-585-6708 Fax: 518-585-3260 | |
Kristin L Mack, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Adirondack Dr Ste 2, Ticonderoga, NY 12883 Phone: 518-585-6708 Fax: 518-585-3260 | |
Richard N Mckeever, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1019 Wicker St, Ticonderoga, NY 12883 Phone: 518-761-0300 Fax: 518-824-2390 | |
Salam Hawa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Adirondack Dr Ste 2, Ticonderoga, NY 12883 Phone: 518-585-6708 Fax: 518-585-3260 |