| Mallory Sprague, MD | |
|
49 Lawrence Ave, Potsdam, NY 13676-1889 | |
| (315) 261-5550 | |
| Not Available |
| Full Name | Mallory Sprague |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 49 Lawrence Ave, Potsdam, 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 |
|---|---|---|---|
| 1366891632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 301774 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Health Services Of Northern New York Inc Chha | Potsdam, NY | Home health agency |
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Canton-potsdam Hospital | 6204827280 | 199 |
| Canton-potsdam Medical Practice Pllc | 6507090883 | 2 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Canton-potsdam Medical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760821417 PECOS PAC ID: 6507090883 Enrollment ID: O20130930000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Sprague, MD 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 | Mallory Sprague, MD 49 Lawrence Ave, Potsdam, NY 13676-1889 Ph: (315) 261-5550 |
Vineet Bansal, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 Fax: 315-261-5597 | |
Dr. Alecia Acee Vanwagner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Avuenue, Potsdam, NY 13676 Phone: 315-261-5550 Fax: 315-261-5598 | |
Dr. Timothy K Atkinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-6410 | |
Dr. Aaron E Fuller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 Fax: 315-261-5599 | |
Roshanak Salehi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Dr. Emily Louise Wood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-384-4881 Fax: 315-384-4905 |