| Mary Ellen Johnson, FNP-BC | |
|
1783 Route 9 Ste 102, Halfmoon, NY 12065-2467 | |
| (518) 383-4198 | |
| (518) 383-0448 |
| Full Name | Mary Ellen Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1783 Route 9 Ste 102, Halfmoon, 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 |
|---|---|---|---|
| 1831825686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 349935 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Hospital | Troy, NY | Hospital |
| Saratoga Hospital | Saratoga springs, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Physicians Pllc | 8022904473 | 349 |
| Entity Name | Community Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Johnson, FNP-BC 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Mary Ellen Johnson, FNP-BC 1783 Route 9 Ste 102, Halfmoon, NY 12065-2467 Ph: (518) 383-4198 |
Jessica Riggins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1783 Route 9 Ste 203, Halfmoon, NY 12065 Phone: 518-213-6910 Fax: 518-213-6932 | |
Alexa A Decerce, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3 Executive Park Dr, Halfmoon, NY 12065 Phone: 518-371-4614 | |
Ms. Lisa M Stephenson, MS, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1783 Route 9, Suite 202, Halfmoon, NY 12065 Phone: 518-383-2366 Fax: 518-383-6022 | |
Linda Katz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1783 Route 9 Ste 203, Halfmoon, NY 12065 Phone: 518-213-6910 Fax: 518-213-6932 | |
Denise Fuoco, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1783 Route 9 Ste 102, Halfmoon, NY 12065 Phone: 518-383-1498 | |
Deanna Veet, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Corporate Dr, Ste 100, Halfmoon, NY 12065 Phone: 518-348-1276 Fax: 518-383-8104 | |
Christina Paddon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1783 Route 9 Ste 203, Halfmoon, NY 12065 Phone: 518-213-6910 Fax: 518-213-6932 |