| Diana Previllon, NP | |
|
330 Route 304, Bardonia, NY 10954-1627 | |
| (845) 623-6232 | |
| Not Available |
| Full Name | Diana Previllon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 330 Route 304, Bardonia, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669147187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F347865-01 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Garnet Health Urgent Care Pc | 5395009765 | 18 |
| Entity Name | Chenango Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770593956 PECOS PAC ID: 7517853633 Enrollment ID: O20040225000911 |
| Entity Name | Perry Ave Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619973518 PECOS PAC ID: 0547365363 Enrollment ID: O20080131000457 |
| Entity Name | Ashraf Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821387382 PECOS PAC ID: 1850560830 Enrollment ID: O20110809000012 |
| Entity Name | Bp Immediate Medical Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205105004 PECOS PAC ID: 8628295581 Enrollment ID: O20140818000117 |
| Entity Name | North Shore Lij Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
| Entity Name | Divinity Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497159560 PECOS PAC ID: 5193030245 Enrollment ID: O20150818005362 |
| Entity Name | Garnet Health Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316446651 PECOS PAC ID: 5395009765 Enrollment ID: O20180510002613 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Previllon, NP 330 Route 304, Bardonia, NY 10954-1627 Ph: (845) 623-6232 | Diana Previllon, NP 330 Route 304, Bardonia, NY 10954-1627 Ph: (845) 623-6232 |
Renee Golding-coote, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Route 304, Bardonia, NY 10954 Phone: 845-623-6232 | |
Deanna Rose Bova Brannigan, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 446 Route 304, Bardonia, NY 10954 Phone: 845-623-8031 |