| Kenneth E Mathis, PA | |
|
1160 Corporate Dr, Farmington, NY 14425-9534 | |
| (585) 924-1550 | |
| (585) 924-1589 |
| Full Name | Kenneth E Mathis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1160 Corporate Dr, Farmington, 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 |
|---|---|---|---|
| 1518053719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 003372 (New York) | Primary |
| Entity Name | The Frederick Ferris Thompson Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194776351 PECOS PAC ID: 3274428586 Enrollment ID: O20040217000109 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E Mathis, PA 1160 Corporate Dr, Farmington, NY 14425-9534 Ph: (585) 924-1550 | Kenneth E Mathis, PA 1160 Corporate Dr, Farmington, NY 14425-9534 Ph: (585) 924-1550 |
Kara Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1160 Corporate Dr, Farmington, NY 14425 Phone: 585-924-1510 |
James P O'brien, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1160 Corporate Dr, Farmington, NY 14425 Phone: 585-924-1510 |
Lauren Rose Payne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5610 State Route 96, Farmington, NY 14425 Phone: 248-238-0868 |
Katie Pizura, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1160 Corporate Dr, Farmington, NY 14425 Phone: 585-924-1510 |
Katie A. Schaeffer Mccool, FNP-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1160 Corporate Dr, Farmington, NY 14425 Phone: 585-924-1510 |
Mr. John B. Oliphant, RPAC, ATC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1160 Corporate Dr, Healthworks, Farmington, NY 14425 Phone: 585-924-1550 |