| Betsy Doria Liljeberg, PSYNP | |
|
1427 Genesee St, Utica, NY 13501-4343 | |
| (315) 738-1428 | |
| (315) 738-1461 |
| Full Name | Betsy Doria Liljeberg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1427 Genesee St, Utica, 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 |
|---|---|---|---|
| 1487606885 | NPI | - | NPPES |
| 01039156 | Medicaid | NY | |
| 00474180 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F400834-1 (New York) | Primary |
| Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Betsy Doria Liljeberg, PSYNP 1020 Mary St, Utica, NY 13501-1930 Ph: (315) 724-6907 | Betsy Doria Liljeberg, PSYNP 1427 Genesee St, Utica, NY 13501-4343 Ph: (315) 738-1428 |
Sarah Dunham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Champlin Ave, Utica, NY 13502 Phone: 315-624-8400 | |
Miss Jenna Yager, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Hospital Dr, Utica, NY 13502 Phone: 315-917-9966 | |
Miss Debra Jane Dermady-ray, RN, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Business Park Dr, Utica, NY 13502 Phone: 315-798-8737 | |
Cynthia A Altieri, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Noyes St, Utica, NY 13502 Phone: 315-797-6800 | |
Thet Thet Mar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 | |
Barbara Jean Drake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2211 Genesee St Ste 200, Utica, NY 13501 Phone: 315-733-7598 Fax: 315-733-7694 | |
Michael S Babula, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Noyes St, Utica, NY 13502 Phone: 315-624-9471 Fax: 315-922-9502 |