| Elizabeth Marie Sovocool, NP | |
|
24 Albro Rd, Marathon, NY 13803-2808 | |
| (607) 849-3180 | |
| (607) 662-4919 |
| Full Name | Elizabeth Marie Sovocool |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 24 Albro Rd, Marathon, 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 |
|---|---|---|---|
| 1285391250 | NPI | - | NPPES |
| 06941377 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 348551 (New York) | Primary |
| Entity Name | Suny Health Science Center At Syracuse |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184974529 PECOS PAC ID: 7214833086 Enrollment ID: O20031211000420 |
| Entity Name | Pediatric Service Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Marie Sovocool, NP 85 S West St, Homer, NY 13077-1542 Ph: (607) 753-3797 | Elizabeth Marie Sovocool, NP 24 Albro Rd, Marathon, NY 13803-2808 Ph: (607) 849-3180 |
Ms. Erica Z. Burkert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 East Main Street, Marathon, NY 13803 Phone: 607-849-3900 | |
Nicole Marie Gilbert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Albro Rd, Marathon, NY 13803 Phone: 607-849-3180 | |
Natalia Lynne Mccormick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 East Main Street, Marathon, NY 13803 Phone: 607-849-3271 | |
Mrs. Carly Alexandra Latta, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Albro Rd, Marathon, NY 13803 Phone: 607-753-3797 | |
Heather June Teribury, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 East Main Street, Marathon, NY 13803 Phone: 607-849-3271 |