| Heidi Marie Kinnally, NP | |
|
61 Delano St, Pulaski, NY 13142-1400 | |
| (315) 298-6564 | |
| (315) 298-7831 |
| Full Name | Heidi Marie Kinnally |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 61 Delano St, Pulaski, 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 |
|---|---|---|---|
| 1245512284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F401384-1 (New York) | Primary |
| Entity Name | Northern Oswego County Health Services, Inc. Dba Connextcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
| Entity Name | Upstate Psychiatry Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184170821 PECOS PAC ID: 0446532881 Enrollment ID: O20170120000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Marie Kinnally, NP 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 | Heidi Marie Kinnally, NP 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 |
Jody Lee Hipple, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano Street, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968 | |
Lindsay Ogorchock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488 | |
Jessica Kimball, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 | |
Blaze Fahnestock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 | |
Annette Digby, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 | |
Mckenzie Brubaker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968 |