| Jessica M Kostrewa, NP | |
|
6000 Brockton Dr, Lockport, NY 14094-9273 | |
| (716) 845-3400 | |
| (716) 438-1430 |
| Full Name | Jessica M Kostrewa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 6000 Brockton Dr, Lockport, 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 |
|---|---|---|---|
| 1588066468 | NPI | - | NPPES |
| 04039149 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F306893 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | F306893 (New York) | Primary |
| Entity Name | Ub Family Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942294467 PECOS PAC ID: 1658361381 Enrollment ID: O20040514000861 |
| Entity Name | Trinity Medical Wny Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295043149 PECOS PAC ID: 5193907517 Enrollment ID: O20110307000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica M Kostrewa, NP 199 Park Club Ln Ste 500, Williamsville, NY 14221-5269 Ph: (716) 845-1300 | Jessica M Kostrewa, NP 6000 Brockton Dr, Lockport, NY 14094-9273 Ph: (716) 845-3400 |
Stacie Grant, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38 Heritage Ct, Lockport, NY 14094 Phone: 716-433-4465 | |
Mrs. Sara Ann Altieri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5846 Snyder Dr, Lockport, NY 14094 Phone: 716-433-3053 Fax: 716-433-3118 | |
Amanda Ann Ulsifer, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5526 Niagara Street Ext, Lockport, NY 14094 Phone: 716-438-3429 Fax: 716-438-3428 | |
Ms. Ann Catherine Coia, RN, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4675 Sunset Dr, Lockport, NY 14094 Phone: 716-439-4417 Fax: 716-439-6214 | |
Mrs. Jane K James, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5879 Snyder Dr, Lockport, NY 14094 Phone: 716-433-8751 | |
Maxine Kidder, P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 139 Professional Pkwy, Lockport, NY 14094 Phone: 716-433-6711 Fax: 716-433-0546 | |
Kelly Marie Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6950 S Transit Rd, Lockport, NY 14094 Phone: 716-630-1335 Fax: 716-817-1770 |