| Kerri K Leblanc, MD | |
|
1 Atwell Rd, Cooperstown, NY 13326-1301 | |
| (607) 547-3290 | |
| (607) 547-5605 |
| Full Name | Kerri K Leblanc |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1 Atwell Rd, Cooperstown, 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 |
|---|---|---|---|
| 1942465893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036128492 (Illinois) | Secondary |
| 208000000X | Pediatrics | 277067-1 (New York) | Primary |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri K Leblanc, MD 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3290 | Kerri K Leblanc, MD 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3290 |
Dr. Chris L Kjolhede, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3290 Fax: 607-547-5605 | |
Dr. William Charles Wassel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3074 Fax: 607-547-6782 | |
Dr. Margaret Ruth Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-7980 Fax: 607-547-6782 | |
Dr. Anne Marie Gadomski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3909 Fax: 607-547-6325 | |
Kelly Elizabeth Dewey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3456 | |
Dr. Nicole Betancourt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3456 | |
Brandon Greene, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-7980 Fax: 607-547-6782 |