| Kyle Nick, PA-C | |
|
1 Atwell Rd, Cooperstown, NY 13326-1301 | |
| (607) 547-3456 | |
| Not Available |
| Full Name | Kyle Nick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1 Atwell Rd, Cooperstown, 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 |
|---|---|---|---|
| 1003467747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Emergency Physicians Integrated Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Nick, PA-C 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3456 | Kyle Nick, PA-C 1 Atwell Rd, Cooperstown, NY 13326-1301 Ph: (607) 547-3456 |
Marguerite Duplessis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3153 Fax: 607-547-6539 |
Patricia Lindsay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3400 |
Haylee Smith, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3456 |
Kara Jane Young, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3456 |
Hannah Gray Park, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3456 |
Jessie Welch, R.P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3468 Fax: 607-547-4786 |
David M Lott, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Atwell Rd, Cooperstown, NY 13326 Phone: 607-547-3468 Fax: 607-547-6551 |