| Brandy Lee Wadsworth, | |
|
79 North St, Granville, NY 12832 | |
| (518) 642-0612 | |
| (518) 642-0693 |
| Full Name | Brandy Lee Wadsworth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 79 North St, Granville, 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 |
|---|---|---|---|
| 1881186930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 597823 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 402434 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saratoga Hospital | Saratoga springs, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Hope Psychology And Nurse Practitioner-psychiatry Services Pllc | 5597158311 | 3 |
| Saratoga Hospital | 6406740273 | 327 |
| St. Mary's Healthcare | 7618960709 | 96 |
| Entity Name | Saratoga Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033371166 PECOS PAC ID: 6406740273 Enrollment ID: O20040402000837 |
| Entity Name | Behavioral Health Services North, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689621468 PECOS PAC ID: 3173511557 Enrollment ID: O20040504001084 |
| Entity Name | Carelon Medical Partners, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160521000037 |
| Entity Name | New Hope Psychology And Nurse Practitioner-psychiatry Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710656350 PECOS PAC ID: 5597158311 Enrollment ID: O20220131001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy Lee Wadsworth, 100 Park St, Glens Falls, NY 12801-4447 Ph: (518) 926-6992 | Brandy Lee Wadsworth, 79 North St, Granville, NY 12832 Ph: (518) 642-0612 |
Ann Marie Gregory, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79 North St, Granville Family Health, Granville, NY 12832 Phone: 518-642-0612 Fax: 518-642-0693 | |
Margaret Louise Young, FNP, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79 North Street, Granville Medical Center, Granville, NY 12832 Phone: 518-642-0612 Fax: 518-642-0693 | |
Emily M Loomis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79 North Street, Granville Medical Center, Granville, NY 12832 Phone: 518-642-0612 Fax: 518-642-0693 | |
Laurie Ann Dennison, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Pine St, Granville, NY 12832 Phone: 518-955-8576 |