| Danielle Rafferty, FNP | |
|
4207 State Highway 220, Oxford, NY 13830-4305 | |
| (607) 843-3100 | |
| Not Available |
| Full Name | Danielle Rafferty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4207 State Highway 220, Oxford, 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 |
|---|---|---|---|
| 1255731626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 338987 (New York) | Primary |
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Entity Name | State Of New York Comptrollers Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386851004 PECOS PAC ID: 0840101770 Enrollment ID: O20040623001353 |
| Entity Name | New York General Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
| Entity Name | American Advanced Practice Network Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790244341 PECOS PAC ID: 0749517860 Enrollment ID: O20200427001472 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210831002021 |
| Entity Name | Cs Pacs 3 Northeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093598898 PECOS PAC ID: 0941656607 Enrollment ID: O20231101000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Rafferty, FNP 4207 State Highway 220, Oxford, NY 13830-4305 Ph: () - | Danielle Rafferty, FNP 4207 State Highway 220, Oxford, NY 13830-4305 Ph: (607) 843-3100 |
Jean Van Kingsley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4211 State Highway 220, Oxford, NY 13830 Phone: 607-843-3138 | |
Gail Ann Mathieson-devereaux, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4211 State Highway 220, Oxford, NY 13830 Phone: 607-843-3121 | |
Mrs. Elise Marie Van Gorden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 295 Williams Rd, Oxford, NY 13830 Phone: 607-644-5857 | |
Ms. Autumn Lee Tokos, MS, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4207 State Highway 220, Oxford, NY 13830 Phone: 607-843-3173 | |
Mrs. Mary E Warner, GERIATRIC NURSE PRAC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4211 State Highway 220, Oxford, NY 13830 Phone: 607-843-3139 Fax: 607-843-3162 | |
Ronica Lynn Murphy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4207 State Highway 220, Oxford, NY 13830 Phone: 607-843-3140 |