| Lisa A Olson-gugerty, NP | |
|
4417 Vestal Pkwy E, Vestal, NY 13850-3556 | |
| (607) 729-2144 | |
| Not Available |
| Full Name | Lisa A Olson-gugerty |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 4417 Vestal Pkwy E, Vestal, 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 |
|---|---|---|---|
| 1083902027 | NPI | - | NPPES |
| 03411983 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 336857 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cma Medical Practice Pllc | 7618214560 | 32 |
| Port City Emergency Physicians Llp | 0345301917 | 49 |
| Cayuga Medical Associates Pc | 6709897960 | 283 |
| Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
| Entity Name | Cayuga Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525455 PECOS PAC ID: 6709897960 Enrollment ID: O20060601000199 |
| Entity Name | Port City Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134370547 PECOS PAC ID: 0345301917 Enrollment ID: O20081202000420 |
| Entity Name | Cma Medical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962985564 PECOS PAC ID: 7618214560 Enrollment ID: O20190130001697 |
| Entity Name | Ithaca Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164166559 PECOS PAC ID: 2961887583 Enrollment ID: O20220919001604 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Olson-gugerty, NP 82 Copeland Ave, Homer, NY 13077-1528 Ph: (607) 749-2640 | Lisa A Olson-gugerty, NP 4417 Vestal Pkwy E, Vestal, NY 13850-3556 Ph: (607) 729-2144 |
Ying Fang Zhao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Apine Drive, Vestal, NY 13850 Phone: 917-238-7372 | |
Ms. Kathryn Ellen Ericksen, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Old Vestal Rd, Vestal, NY 13850 Phone: 607-221-2745 | |
Susan Wenzinger, ANPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4513 Old Vestal Rd, Vestal, NY 13850 Phone: 607-729-7001 | |
Erica Tokos, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145 | |
Chloe A Pusey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4104 Vestal Rd, Vestal Executive Park Suite 203, Vestal, NY 13850 Phone: 607-797-9036 Fax: 607-798-0601 | |
Aline Stabler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145 |