| Alice Johnson, FNP | |
|
200 North St, Suite 101, Geneva, NY 14456-1561 | |
| (315) 787-5100 | |
| (315) 787-5108 |
| Full Name | Alice Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 200 North St, Geneva, 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 |
|---|---|---|---|
| 1326102500 | NPI | - | NPPES |
| P00003445 | Other | NY | R.R. MEDICARE |
| 01235432 | Medicaid | NY | |
| 109570BJ | Other | NY | PREFERRED CARE |
| P019330480 | Other | NY | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F330480 (New York) | Primary |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Entity Name | Finger Lakes Area Counseling And Recovery Agency, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366434011 PECOS PAC ID: 1254683766 Enrollment ID: O20181011001185 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Johnson, FNP 200 North St, Suite 101, Geneva, NY 14456-1561 Ph: (315) 787-5100 | Alice Johnson, FNP 200 North St, Suite 101, Geneva, NY 14456-1561 Ph: (315) 787-5100 |
Melissa Sherman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 North St, Geneva, NY 14456 Phone: 315-787-5000 | |
Ms. Judith Ann Salotti, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Mason St, Geneva, NY 14456 Phone: 315-787-4749 Fax: 315-787-4812 | |
Michelle Durham, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 789 Pre Emption Rd, Suite 600, Geneva, NY 14456 Phone: 315-781-2000 Fax: 315-719-0230 | |
Sarah Disanto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 North St, Hospitalist Office, Geneva, NY 14456 Phone: 315-787-4303 Fax: 315-787-4288 | |
Shana M Russ, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 North St, Geneva, NY 14456 Phone: 315-787-4500 | |
Ms. Lynn Ann Firendino, RN, MS, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 North St Ste 101, Geneva, NY 14456 Phone: 315-787-5200 Fax: 315-787-5226 | |
Danielle Christin Cunningham, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 North St Ste 101, Geneva, NY 14456 Phone: 315-787-5200 |