Doreen L Potter, PA is a
Physician Assistant based in Greenwich, New York. Doreen L Potter is licensed to practice in New York (license number 005062) and her current practice location is
1134 State Route 29, Greenwich Family Health Center, Greenwich, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 692-9861.
NPI number for Doreen L Potter is 1740266113 and her current mailing address is Po Box 304, Glens Falls, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740266113.
Provider's Profile
| Full Name | Doreen L Potter |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1134 State Route 29, Greenwich, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740266113
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 07/13/2012
Medical Identifiers
Medical identifiers for Doreen L Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740266113 | NPI | - | NPPES |
| 02347400 | Medicaid | NY | |
| P00370312 | Other | NY | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 005062 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Doreen L Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Doreen L Potter, PA
Po Box 304,
Glens Falls, NY 12801-0304
Ph: (518) 692-9861 | Doreen L Potter, PA
1134 State Route 29, Greenwich Family Health Center,
Greenwich, NY 12834-6107
Ph: (518) 692-9861 |
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