| Agezi Igboko, | |
|
950 County Rd, Elmira, NY 14903 | |
| (607) 796-5900 | |
| Not Available |
| Full Name | Agezi Igboko |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 950 County Rd, Elmira, 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 |
|---|---|---|---|
| 1790350882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 348029 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanova Dermatology Pllc | 8527235340 | 21 |
| Entity Name | Sanova Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689957169 PECOS PAC ID: 8527235340 Enrollment ID: O20120119000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Agezi Igboko, 3165 Capriole Dr Ne, Marietta, GA 30062-0300 Ph: (919) 630-4147 | Agezi Igboko, 950 County Rd, Elmira, NY 14903 Ph: (607) 796-5900 |
Kathleen Marie Keefe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 Ivy St, 2nd Floor, Elmira, NY 14905 Phone: 607-737-4130 Fax: 607-271-2099 | |
Margaret Ann Pease, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Madison Ave Ste 2d, Elmira, NY 14901 Phone: 607-271-3442 Fax: 607-271-3445 | |
Mrs. Penny Penland Stollery, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-8165 Fax: 607-737-8175 | |
Patience Wulf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Roe Ave, Elmira, NY 14905 Phone: 607-737-8165 Fax: 607-737-8175 | |
Barbara A Cleveland, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Fitch St, Elmira, NY 14905 Phone: 607-271-3780 Fax: 607-271-3894 | |
Mary Lou Losinger, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 302 Hoffman St, Elmira, NY 14905 Phone: 607-734-2264 Fax: 607-767-0340 | |
Janet Sherman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Ivy St, Elmira, NY 14905 Phone: 607-734-4191 Fax: 607-734-0026 |