| Kelly Lee Drollette, NP | |
|
3384 State Route 22 Ste 3, Peru, NY 12972-5305 | |
| (518) 643-8008 | |
| (518) 643-8090 |
| Full Name | Kelly Lee Drollette |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 3384 State Route 22 Ste 3, Peru, 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 |
|---|---|---|---|
| 1548895428 | NPI | - | NPPES |
| 773557 | Other | NY | NEW YORK STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F347881 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 347881 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Elizabethtown Community Hospital | Elizabethtown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Champlain Valley Physicians Hospital Medical Center | 2769396878 | 283 |
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
| Entity Name | Adirondack Medical Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518136001 PECOS PAC ID: 0446338941 Enrollment ID: O20080424000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lee Drollette, NP 4400 Vestal Pkwy E, Binghamton, NY 13902-4601 Ph: () - | Kelly Lee Drollette, NP 3384 State Route 22 Ste 3, Peru, NY 12972-5305 Ph: (518) 643-8008 |
Jennifer Kanaly, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 John Boswell Rd, Peru, NY 12972 Phone: 518-420-2073 Fax: 518-763-0895 | |
Michelle Marie Rushby, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3384 State Route 22 Ste 3, Peru, NY 12972 Phone: 518-643-8008 Fax: 518-643-8090 | |
Mrs. Sandra Marie Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Elm Street, Peru, NY 12972 Phone: 518-643-7037 Fax: 518-643-2125 |