| Derek James Bush, PA-C | |
|
75 Beekman St, Plattsburgh, NY 12901-1427 | |
| (518) 562-7371 | |
| Not Available |
| Full Name | Derek James Bush |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 75 Beekman St, Plattsburgh, 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 |
|---|---|---|---|
| 1497375869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek James Bush, PA-C 75 Beekman St, Plattsburgh, NY 12901-1427 Ph: (185) 627-3715 | Derek James Bush, PA-C 75 Beekman St, Plattsburgh, NY 12901-1427 Ph: (518) 562-7371 |
Staci Carter-kelly, RPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23 Hammond Ln, Plattsburgh, NY 12901 Phone: 518-561-1322 Fax: 518-561-3420 |
Marc A Downs, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 675 State Route 3, Plattsburgh, NY 12901 Phone: 518-566-0672 Fax: 518-566-0641 |
Leo P Lawrence, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 Fax: 518-561-0881 |
Ms. Deborah Monroe Kampschror, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Cornelia St, Suite 101, Plattsburgh, NY 12901 Phone: 518-562-7990 Fax: 518-562-7991 |
Mrs. Phyllis Mccullum, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 96 Court St, Plattsburgh, NY 12901 Phone: 518-562-1080 |
Mariah Helene Simons, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 |
David W Frostick, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 Fax: 518-314-3117 |