| Jecinter Lilian Adhiambo Otieno, NURSE PRACTITIONER | |
|
16 Crawford St, Cortland, NY 13045-3200 | |
| (315) 363-9281 | |
| (315) 363-9286 |
| Full Name | Jecinter Lilian Adhiambo Otieno |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 16 Crawford St, Cortland, 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 |
|---|---|---|---|
| 1619578366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403123 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Rome Memorial Hospital, Inc | Rome, NY | Hospital |
| Lourdes Hospital | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nysarc Inc. | 6608869193 | 15 |
| Entity Name | New Hartford Psychiatric Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619004355 PECOS PAC ID: 4981590304 Enrollment ID: O20040224000331 |
| Entity Name | Nysarc Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427113547 PECOS PAC ID: 6608869193 Enrollment ID: O20040408000675 |
| Entity Name | State Of New York Comptrollers Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Jecinter Lilian Adhiambo Otieno, NURSE PRACTITIONER 238 Oriskany Blvd, Whitesboro, NY 13492-1540 Ph: (315) 768-7181 | Jecinter Lilian Adhiambo Otieno, NURSE PRACTITIONER 16 Crawford St, Cortland, NY 13045-3200 Ph: (315) 363-9281 |
Karen Wickert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4077 West Rd, Cortland, NY 13045 Phone: 607-753-9977 Fax: 607-753-7311 | |
Caitlin M Atwater, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4038 West Rd, Cortland, NY 13045 Phone: 607-758-3008 Fax: 607-758-3019 | |
Mrs. Sarah Slocum, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Tompkins St, Cortland, NY 13045 Phone: 607-756-9941 | |
Melanie Novick, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 N Main St, Cortland, NY 13045 Phone: 607-753-0234 Fax: 607-753-0286 | |
Caroline Fasanelli, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-756-3500 | |
Soo Yeon Shin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-756-3500 | |
Amanda Dawn Holley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Homer Avenue, Cortland, NY 13045 Phone: 607-756-3500 |