| Martha Kathleen Passino, PNP | |
|
25 Degrandpre Way, Plattsburgh, NY 12901-6449 | |
| (518) 824-2563 | |
| (833) 448-3030 |
| Full Name | Martha Kathleen Passino |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 25 Degrandpre Way, Plattsburgh, 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 |
|---|---|---|---|
| 1356511174 | NPI | - | NPPES |
| 02957404 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 381931 (New York) | Primary |
| Entity Name | Hudson Headwaters Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Kathleen Passino, PNP 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Martha Kathleen Passino, PNP 25 Degrandpre Way, Plattsburgh, NY 12901-6449 Ph: (518) 824-2563 |
Alyssa Lynn Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 | |
Rebecca Carter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Cornelia St Ste 104, Plattsburgh, NY 12901 Phone: 518-562-7557 Fax: 518-562-7559 | |
Mrs. Mary Anne Carter, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901 Phone: 518-563-3260 Fax: 518-561-2877 | |
Joshua Michael Korb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Prospect Ave, Plattsburgh, NY 12901 Phone: 518-563-5440 | |
Sarah Beth Wood, MSN, FNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Broad St, Plattsburgh, NY 12901 Phone: 518-825-1555 | |
Suzanne Laborde, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Degrandpre Way, Plattsburgh, NY 12901 Phone: 518-824-2563 Fax: 833-448-3030 | |
Abbey Turner, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-562-7790 |