| Elizabeth Sarah Pickett, CM | |
|
373 Broadway, Kingston, NY 12401 | |
| (845) 303-1132 | |
| (845) 303-1133 |
| Full Name | Elizabeth Sarah Pickett |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 373 Broadway, Kingston, 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 |
|---|---|---|---|
| 1982945028 | NPI | - | NPPES |
| 03515679 | Medicaid | NY | |
| F001537 | Other | NY | NYS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 001537 (New York) | Primary |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Entity Name | Westchester Medical Center Advanced Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Sarah Pickett, CM 19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532-2140 Ph: (914) 909-9018 | Elizabeth Sarah Pickett, CM 373 Broadway, Kingston, NY 12401 Ph: (845) 303-1132 |
Ms. Donna M Marsella I, CNM, CFNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 396 Broadway, Kingston, NY 12401 Phone: 845-331-3131 | |
Renee Suzanne Berger, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 166 Albany Ave, Kingston, NY 12401 Phone: 845-338-5575 Fax: 845-338-5548 |