| Derek Fenton, | |
|
102 Ford St, Ogdensburg, NY 13669-1402 | |
| (315) 713-9350 | |
| Not Available |
| Full Name | Derek Fenton |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 102 Ford St, Ogdensburg, 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 |
|---|---|---|---|
| 1245923424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 351949 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Cerebral Palsy Association Of The North Country Inc | 8729078001 | 22 |
| Entity Name | United Cerebral Palsy Association Of The North Country Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467432765 PECOS PAC ID: 8729078001 Enrollment ID: O20040518000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Fenton, 102 Ford St, Ogdensburg, NY 13669-1402 Ph: () - | Derek Fenton, 102 Ford St, Ogdensburg, NY 13669-1402 Ph: (315) 713-9350 |
Maribeth Evans, RN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1003 Park St, Ogdensburg, NY 13669 Phone: 315-713-9090 | |
Miss Meredith A Rubado, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Canton St, Ogdensburg, NY 13669 Phone: 315-605-3079 | |
Kenneth Hilborne, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-394-7542 Fax: 866-506-5573 | |
Kristin Elizabeth Lamay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 State St, Ogdensburg, NY 13669 Phone: 315-393-9269 | |
Ms. Denise P Montroy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-394-7542 Fax: 315-394-0015 | |
Mrs. Tara Brooke Laffin, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Chimney Point Drive, Ogdensburg, NY 13669 Phone: 315-394-6256 Fax: 315-394-6446 |