| Mary M Barbara, PA | |
|
61 Delano St, Pulaski, NY 13142-1400 | |
| (315) 298-6564 | |
| (315) 298-7488 |
| Full Name | Mary M Barbara |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 61 Delano St, Pulaski, 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 |
|---|---|---|---|
| 1942378831 | NPI | - | NPPES |
| 331880 | Other | FQHC NUMBER | |
| 00307662 | Medicaid | NY | |
| PENDING | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 011647 (New York) | Primary |
| Entity Name | Northern Oswego County Health Services, Inc. Dba Connextcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M Barbara, PA 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 | Mary M Barbara, PA 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 |
Sarah L Oddo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-342-0880 | |
William E Downey, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488 | |
Terry Alan Wilver, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7831 |