| Deborah Matteliano, NP | |
|
4855 Camp Rd, Ste 100, Hamburg, NY 14075-2600 | |
| (716) 646-1084 | |
| (716) 646-0763 |
| Full Name | Deborah Matteliano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4855 Camp Rd, Hamburg, 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 |
|---|---|---|---|
| 1902857790 | NPI | - | NPPES |
| 00026523301 | Other | UNIVERA | |
| 7599686 | Other | GHI | |
| 9512251 | Other | INDEPENDENT HEALTH | |
| 000560744001 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F3337891 (New York) | Primary |
| Entity Name | Lakeshore Primary Care Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225250525 PECOS PAC ID: 9931013703 Enrollment ID: O20031117000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Matteliano, NP 571 Terrace Blvd, Depew, NY 14043-3610 Ph: (716) 683-4196 | Deborah Matteliano, NP 4855 Camp Rd, Ste 100, Hamburg, NY 14075-2600 Ph: (716) 646-1084 |
Kristina C Baranyi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4535 Southwestern Blvd Ste 704, Hamburg, NY 14075 Phone: 716-689-3333 | |
Jill Rice, APRN PMHNP AND FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3750 Heatherwood Dr Apt L5, Hamburg, NY 14075 Phone: 694-693-3044 | |
Janele Lucy Storms, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4855 Camp Rd, Ste 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 | |
Courtney Burns, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4909 Southwestern Blvd, Hamburg, NY 14075 Phone: 716-926-6358 | |
Mary Colleen House, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Long Avenue, Suite 110, Hamburg, NY 14075 Phone: 716-646-5188 Fax: 716-646-5190 | |
Mr. John Anthony Stagg, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 Lake Shore Rd Apt 132, Hamburg, NY 14075 Phone: 716-935-0508 | |
Shannon Marie Hoffmann, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4855 Camp Rd Ste 100, Hamburg, NY 14075 Phone: 716-646-1084 Fax: 716-646-0763 |