| Lucille D'agostino, | |
|
5 Lyon Pl, Ogdensburg, NY 13669-2586 | |
| (315) 393-2314 | |
| (315) 393-3873 |
| Full Name | Lucille D'agostino |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 5 Lyon Pl, Ogdensburg, 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 |
|---|---|---|---|
| 1477170702 | NPI | - | NPPES |
| 06505311 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 346045 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 346045 (New York) | Primary |
| Entity Name | Claxton-hepburn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
| Entity Name | Carthage Area Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856 |
| Entity Name | Hospice Of St Lawrence Valley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497758080 PECOS PAC ID: 0840204574 Enrollment ID: O20140903001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucille D'agostino, 214 King St, Ogdensburg, NY 13669-1142 Ph: (315) 393-3600 | Lucille D'agostino, 5 Lyon Pl, Ogdensburg, NY 13669-2586 Ph: (315) 393-2314 |
Maribeth Evans, RN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1003 Park St, Ogdensburg, NY 13669 Phone: 315-713-9090 | |
Miss Meredith A Rubado, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Canton St, Ogdensburg, NY 13669 Phone: 315-605-3079 | |
Kenneth Hilborne, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-394-7542 Fax: 866-506-5573 | |
Kristin Elizabeth Lamay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 State St, Ogdensburg, NY 13669 Phone: 315-393-9269 | |
Derek Fenton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Ford St, Ogdensburg, NY 13669 Phone: 315-713-9350 | |
Ms. Denise P Montroy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-394-7542 Fax: 315-394-0015 | |
Mrs. Tara Brooke Laffin, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Chimney Point Drive, Ogdensburg, NY 13669 Phone: 315-394-6256 Fax: 315-394-6446 |