| Laura Wells-spicer, NP | |
|
1200 Driving Park Ave, Newark, NY 14513-1057 | |
| (315) 359-2123 | |
| (315) 359-2167 |
| Full Name | Laura Wells-spicer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1200 Driving Park Ave, Newark, 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 |
|---|---|---|---|
| 1255593570 | NPI | - | NPPES |
| 03007063-NWK | Medicaid | NY | |
| 03490622 | Medicaid | NY | |
| 01131126-RGH | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 301159 (New York) | Primary |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | Newark Wayne Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
| Entity Name | Clifton Springs Sanitarium Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569 |
| Entity Name | Wellbe New York Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902586712 PECOS PAC ID: 6709233497 Enrollment ID: O20231117001533 |
| Entity Name | Mill Basin Medical Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346006202 PECOS PAC ID: 9133566128 Enrollment ID: O20240326003311 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Wells-spicer, NP 1425 Portland Ave, Box 287, Rochester, NY 14621-3001 Ph: (585) 922-5067 | Laura Wells-spicer, NP 1200 Driving Park Ave, Newark, NY 14513-1057 Ph: (315) 359-2123 |
Dr. Brandon Patrick Nugent, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2123 | |
Karen S. Roth, ANP-BC, ACHPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2640 | |
Jennifer Lynn Torres, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2557 Fax: 315-462-2062 | |
Damar Titsy-ann Mcintyre, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-332-2266 | |
Paula Kay Dorn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2130 Fax: 315-359-2139 | |
Beverly J Provo, GNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1208 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2640 | |
Mr. Craig Alan Weise, MS, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2133 Fax: 315-359-2139 |