| Diane I Legendre, PHD, RPAC | |
|
130 Center Way, Corning, NY 14830-2255 | |
| (607) 936-9971 | |
| Not Available |
| Full Name | Diane I Legendre |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 130 Center Way, Corning, 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 |
|---|---|---|---|
| 1003807736 | NPI | - | NPPES |
| 0000063791 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 006379-1 (New York) | Primary |
| Entity Name | Guthrie Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Entity Name | Mobile Physician Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194132415 PECOS PAC ID: 8325360290 Enrollment ID: O20141203001681 |
| Entity Name | Physician Mobile Medical Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518765502 PECOS PAC ID: 8426575325 Enrollment ID: O20250505001772 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane I Legendre, PHD, RPAC 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Diane I Legendre, PHD, RPAC 130 Center Way, Corning, NY 14830-2255 Ph: (607) 936-9971 |
Ms. Suzan S Fenstermacher, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 88 Tioga Ave., Suite 102, Corning, NY 14830 Phone: 607-684-6115 Fax: 607-684-6120 |
Mrs. Bernedette Lynne Rohl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-973-8600 Fax: 607-962-5102 |
Sarah Cooper Boyle, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-973-8000 |
Jeffrey P Hoffman, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3 Guthrie Dr, Corning, NY 14830 Phone: 607-973-8294 Fax: 607-973-8311 |
Jacqueline Czwojdak, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 88 E Tioga Ave Ste 102, Corning, NY 14830 Phone: 607-684-6115 Fax: 607-684-6120 |
Donzaleigh Priestley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-937-8027 Fax: 607-937-8161 |
Mr. James C. Mcallister, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Centerway, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600 |