| Heather A Kim, NP | |
|
184 Barton St, Buffalo, NY 14213-1573 | |
| (716) 881-6191 | |
| (716) 881-6247 |
| Full Name | Heather A Kim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 184 Barton St, Buffalo, 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 |
|---|---|---|---|
| 1811124209 | NPI | - | NPPES |
| 3206131 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 304931 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F336496-1 (New York) | Primary |
| Entity Name | Jericho Road Ministries Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972944080 PECOS PAC ID: 5597992933 Enrollment ID: O20150116000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather A Kim, NP 184 Barton St, Buffalo, NY 14213-1573 Ph: (716) 881-6191 | Heather A Kim, NP 184 Barton St, Buffalo, NY 14213-1573 Ph: (716) 881-6191 |
Mr. V. Thomas Chapin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000 | |
Beth Lyn Vaccarelli, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 | |
Ms. Denise Marie Donahue, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-5600 | |
Mr. Jerry L Corp Ii, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Delaware Ave, Buffalo, NY 14202 Phone: 716-884-0888 | |
Stephanie Erin Myszka, F.N.P.- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 | |
Jessica Lynn Hafezi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Streets, Buffalo, NY 14263 Phone: 716-845-2300 | |
Yevgeniya S Lipina, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 Fax: 844-206-7424 |