Edith Bugenia Wilson, NP | |
5949 Broadway St, Lancaster, NY 14086-9523 | |
(716) 684-3000 | |
Not Available |
Full Name | Edith Bugenia Wilson |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5949 Broadway St, Lancaster, 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 |
---|---|---|---|
1982732301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 303729 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F405187-01 (New York) | Primary |
Entity Name | Supportive Care Psychiatry Of Ny Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740994433 PECOS PAC ID: 4981076247 Enrollment ID: O20230214002558 |
Mailing Address | Practice Location Address |
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Edith Bugenia Wilson, NP 55 Pine Ridge Ter, Cheektowaga, NY 14225-3923 Ph: (716) 830-0373 | Edith Bugenia Wilson, NP 5949 Broadway St, Lancaster, NY 14086-9523 Ph: (716) 684-3000 |
Jill Kaczmarek, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4711 Transit Rd, Lancaster, NY 14043 Phone: 716-668-5331 Fax: 716-668-5370 | |
Ms. Kristin Marie Diangelo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Chestnut Cor, Lancaster, NY 14086 Phone: 716-310-7291 | |
Sandra Lee Moreno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 Pheasant Run Ln, Lancaster, NY 14086 Phone: 716-684-9241 | |
Miss Devon Powers, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Silent Meadow Ln, Lancaster, NY 14086 Phone: 716-574-0476 | |
Melissa Joan Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Silent Meadow Ln, Lancaster, NY 14086 Phone: 905-734-6005 | |
Christien Eileen Olewniczak, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3592 Walden Ave Apt 3, Lancaster, NY 14086 Phone: 716-572-5946 | |
Mary Eustace, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Silent Meadow Ln, Lancaster, NY 14086 Phone: 716-934-4518 Fax: 716-934-7443 |