| Holly Ellen Mault, ANP, FNP | |
|
45 Foster Rd, Hopewell Junction, NY 12533-6123 | |
| (845) 226-4590 | |
| (845) 226-2465 |
| Full Name | Holly Ellen Mault |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 45 Foster Rd, Hopewell Junction, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659469310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 304327 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 337423 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Health & Counseling Services | Bangor, ME | Home health agency |
| Penobscot Valley Hospital | Lincoln, ME | Hospital |
| Eastern Maine Medical Center | Bangor, ME | Hospital |
| Millinocket Regional Hospital | Millinocket, ME | Hospital |
| St Joseph Hospital | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penobscot Valley Hospital | 8426942889 | 15 |
| Entity Name | Penobscot Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093716086 PECOS PAC ID: 8426942889 Enrollment ID: O20040209000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Ellen Mault, ANP, FNP 347 Lake Shore Dr, Monroe, NY 10950-1814 Ph: (845) 782-6298 | Holly Ellen Mault, ANP, FNP 45 Foster Rd, Hopewell Junction, NY 12533-6123 Ph: (845) 226-4590 |
Nicole Marie Dimuria, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 44 Caties Way, Hopewell Junction, NY 12533 Phone: 845-705-0491 | |
Kathryn Palomba, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Cranberry Dr, Hopewell Junction, NY 12533 Phone: 845-231-5600 | |
Bridget Connolly, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2529 New York 52, Hopewell Junction, NY 12533 Phone: 845-227-0123 | |
Samantha Kassidy Young-chan, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Marcy Ln, Hopewell Junction, NY 12533 Phone: 917-832-2127 | |
Hong Chen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Foster Rd, Hopewell Junction, NY 12533 Phone: 845-226-4590 Fax: 855-200-2625 | |
Duane Hampton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2543 Route 52, Hopewell Junction, NY 12533 Phone: 845-337-3400 Fax: 845-337-3399 | |
Daniesha Gayle, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Country Club Rd, Hopewell Junction, NY 12533 Phone: 718-213-9820 |