| Jennifer E Lyons, | |
|
2178 N 5th St, Allegany, NY 14706-1138 | |
| (716) 373-2238 | |
| Not Available |
| Full Name | Jennifer E Lyons |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2178 N 5th St, Allegany, 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 |
|---|---|---|---|
| 1073234092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 721156-01 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F349123-01 (New York) | Primary |
| Entity Name | Allegany Family Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417492380 PECOS PAC ID: 6709122807 Enrollment ID: O20190110001783 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer E Lyons, 1379 Masten Rd, Hinsdale, NY 14743-9710 Ph: (716) 378-5858 | Jennifer E Lyons, 2178 N 5th St, Allegany, NY 14706-1138 Ph: (716) 373-2238 |
Ms. Marilyn H Hale, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Maple Ave & 5th St, Allegany, NY 14706 Phone: 716-373-2238 Fax: 716-373-2273 | |
Rachael Carol Territo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Main St, Allegany, NY 14706 Phone: 716-373-0700 | |
Amit Sudhakar Benedict, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2332 Sheldon Dr, Allegany, NY 14706 Phone: 716-244-7719 Fax: 716-244-7719 |