| Claudianus H Bourne, FNP | |
|
407 Albany Shaker Rd Ste 100, Loudonville, NY 12211-1962 | |
| (518) 435-1300 | |
| (518) 435-1397 |
| Full Name | Claudianus H Bourne |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 407 Albany Shaker Rd Ste 100, Loudonville, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851646541 | NPI | - | NPPES |
| 02995513 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F337303 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Peter's Hospital | Albany, NY | Hospital |
| Albany Medical Center Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oldendorf Medical Services Pllc | 3274684949 | 8 |
| Entity Name | Schenectady Family Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396711982 PECOS PAC ID: 1850280827 Enrollment ID: O20040325000143 |
| 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 | Oldendorf Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518107069 PECOS PAC ID: 3274684949 Enrollment ID: O20090622000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Claudianus H Bourne, FNP Po Box 1081, Troy, NY 12181-1081 Ph: (518) 791-9607 | Claudianus H Bourne, FNP 407 Albany Shaker Rd Ste 100, Loudonville, NY 12211-1962 Ph: (518) 435-1300 |
Amy M Ovitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 407 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-435-1300 | |
Lisa B Richardson, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Joy Dr, Loudonville, NY 12211 Phone: 518-469-7588 | |
Ms. Carrie L Hogan, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Loudon Rd, Siena College Health Service, Loudonville, NY 12211 Phone: 518-783-2554 Fax: 518-783-2961 | |
Melissa Ravida, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-435-1300 | |
Ms. Grace Coons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 399 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-434-9759 |