| Kathryn R Dolan, FNP | |
|
153 W Genesee St, Chittenango, NY 13037-1528 | |
| (315) 687-5100 | |
| (315) 687-0252 |
| Full Name | Kathryn R Dolan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 153 W Genesee St, Chittenango, 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 |
|---|---|---|---|
| 1326157223 | NPI | - | NPPES |
| 02326709 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F332436 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Oneida Healthcare Center | Oneida, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 3274445796 | 251 |
| Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
| Entity Name | Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932100393 PECOS PAC ID: 6103805163 Enrollment ID: O20040714001386 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn R Dolan, FNP 153 W Genesee St, Chittenango, NY 13037-1528 Ph: (315) 687-5100 | Kathryn R Dolan, FNP 153 W Genesee St, Chittenango, NY 13037-1528 Ph: (315) 687-5100 |
Cara E Lavier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 W Genesee St, Chittenango, NY 13037 Phone: 315-687-5100 Fax: 315-687-0252 | |
Jessica Dlugolecki, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 304 Genesee St, Chittenango, NY 13037 Phone: 315-687-6467 |