| Kim Bova, NP | |
|
700 E Brighton Ave, Syracuse, NY 13205-2201 | |
| (315) 413-3200 | |
| Not Available |
| Full Name | Kim Bova |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 700 E Brighton Ave, Syracuse, 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 |
|---|---|---|---|
| 1861119125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 350648 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health | Liverpool, NY | Home health agency |
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nv Pacs 2 Llc | 0941550578 | 119 |
| New York General Medical Services Pc | 7810255494 | 18 |
| 1977 Mesk | 2466950316 | 3 |
| Entity Name | New York General Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
| Entity Name | NV Pacs 2 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210831002021 |
| Entity Name | CS Pacs 3 Northeast, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093598898 PECOS PAC ID: 0941656607 Enrollment ID: O20231101000632 |
| Entity Name | Old Mission Medicine Wound Care New York PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043059298 PECOS PAC ID: 4587104070 Enrollment ID: O20240911001667 |
| Entity Name | 1977 Mesk |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265314629 PECOS PAC ID: 2466950316 Enrollment ID: O20250811000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Bova, NP 405 Helfer Ln, Minoa, NY 13116-1013 Ph: (315) 278-7605 | Kim Bova, NP 700 E Brighton Ave, Syracuse, NY 13205-2201 Ph: (315) 413-3200 |
Janice M Agen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202 Phone: 315-464-5210 Fax: 315-464-2141 |
Irene S Borja, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 |
Mrs. Yingzi Wang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 |
Michele Rene Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 |
Nicole Marie Voudren, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-254-6914 Fax: 315-464-8524 |
Mary Jean Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 |
Frances I Swiecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |