| Marilyn Mk Nelson, MD | |
|
1302 E Main St, Endicott, NY 13760-5430 | |
| (607) 754-2323 | |
| (607) 754-1846 |
| Full Name | Marilyn Mk Nelson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1302 E Main St, Endicott, 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 |
|---|---|---|---|
| 1497776173 | NPI | - | NPPES |
| 482501200 | Medicaid | MD | |
| 0035061003 | Medicaid | WV | |
| 1007288800 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0065518 (Maryland) | Primary |
| Entity Name | United Health Services Hospitals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn Mk Nelson, MD 33 Lewis Rd, 2nd Fl, Binghamton, NY 13905 Ph: (607) 729-8156 | Marilyn Mk Nelson, MD 1302 E Main St, Endicott, NY 13760-5430 Ph: (607) 754-2323 |
Anne-marie Laure Moukala-cadet, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 E Main St, Endicott, NY 13760 Phone: 607-754-2323 Fax: 607-754-1846 | |
Dr. Kristen E Robillard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 E Main St, Endicott, NY 13760 Phone: 607-785-2460 Fax: 607-785-2584 | |
Kathleen Elizabeth Lewis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 E Main St, Endicott, NY 13760 Phone: 607-754-7171 Fax: 607-754-3033 | |
Smriti Thakur, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 E Main St, Endicott, NY 13760 Phone: 607-754-2323 Fax: 607-754-1846 | |
Dr. Misty Ondrusek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 E Main St, Endicott, NY 13760 Phone: 607-785-2460 Fax: 607-785-2584 | |
Dr. Anwar Ahmed Hussain, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1302 E Main St, Endicott, NY 13760 Phone: 607-754-7171 Fax: 607-754-0290 |