| Loretta Lynne Edinger, NP | |
|
5-7 State Street, Tully, NY 13159-3218 | |
| (315) 696-4635 | |
| Not Available |
| Full Name | Loretta Lynne Edinger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 5-7 State Street, Tully, 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 |
|---|---|---|---|
| 1235425372 | NPI | - | NPPES |
| 03349997 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 336816 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home (liverpool) | Liverpool, NY | Home health agency |
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Guthrie Cortland Regional Medical Center | Cortland, NY | Hospital |
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Familycare Medical Group Pc | 5193639565 | 107 |
| Entity Name | Familycare Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447212063 PECOS PAC ID: 5193639565 Enrollment ID: O20031119000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta Lynne Edinger, NP 1001 W Fayette St, Suite 400, Syracuse, NY 13204-2856 Ph: (315) 472-1488 | Loretta Lynne Edinger, NP 5-7 State Street, Tully, NY 13159-3218 Ph: (315) 696-4635 |
Mary Elizabeth Bean, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5821 Route 80, Box 1116, Tully, NY 13159 Phone: 315-696-6114 Fax: 315-696-8509 | |
Mrs. Gianna Boles, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 State St, Tully, NY 13159 Phone: 315-696-4635 | |
Mr. Charles Nicholas Pirro, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5821 Route 80, Tully, NY 13159 Phone: 315-696-6114 Fax: 315-696-8509 | |
Susan Lee Moench, R.N.,M.S.,C.S.,N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 State St, Tully, NY 13159 Phone: 315-696-0264 Fax: 315-696-0264 | |
Jan Mary Mead, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5697 Lake Rd, Tully, NY 13159 Phone: 315-391-8141 |