| Lisa R Naylor, NP | |
|
112 Kimball Ave, Penn Yan, NY 14527-1816 | |
| (315) 536-2752 | |
| Not Available |
| Full Name | Lisa R Naylor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 112 Kimball Ave, Penn Yan, 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 |
|---|---|---|---|
| 1225289127 | NPI | - | NPPES |
| NP1316 | Medicaid | SC | |
| P01058069 | Other | SC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 311970 (New York) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa R Naylor, NP 601b W Washington St, Geneva, NY 14456-2119 Ph: (315) 787-8151 | Lisa R Naylor, NP 112 Kimball Ave, Penn Yan, NY 14527-1816 Ph: (315) 536-2752 |
Rebecca Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 School Dr, Penn Yan, NY 14527 Phone: 315-924-6050 | |
Ms. Joy Elaine Schank, RN, MSN, ANP, CWOCN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 418 N Main St, Penn Yan, NY 14527 Phone: 315-536-3368 Fax: 315-536-4729 | |
Brandon J Jackel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Kimball Ave, Penn Yan, NY 14527 Phone: 315-536-2752 | |
Jean Marie Dabbracci, ADULT NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1930 Pre Emption Rd, Penn Yan, NY 14527 Phone: 315-536-0086 Fax: 315-536-4107 | |
Shannon Trottier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Kimball Ave, Penn Yan, NY 14527 Phone: 315-536-2752 | |
Paul E Mitchell, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1930 Pre Emption Rd, Penn Yan, NY 14527 Phone: 315-536-0086 Fax: 315-536-4107 |