| Mary M Herne, FNP-C | |
|
412 State Route 37, Hogansburg, NY 13655-3109 | |
| (518) 358-3141 | |
| Not Available |
| Full Name | Mary M Herne |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 412 State Route 37, Hogansburg, 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 |
|---|---|---|---|
| 1730675190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 646881 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 343747 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Regis Mohawk Tribe | 5799748547 | 12 |
| Entity Name | St Regis Mohawk Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457344558 PECOS PAC ID: 5799748547 Enrollment ID: O20041111000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M Herne, FNP-C 35 Clover Park Dr Apt 2, Rochester, NY 14618-4533 Ph: (623) 512-2488 | Mary M Herne, FNP-C 412 State Route 37, Hogansburg, NY 13655-3109 Ph: (518) 358-3141 |
Derek John Reynolds, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Saint Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-9175 | |
Brenda Lyn Spurbeck, RNFP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-359-9175 | |
Wendy L Frank, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 412 State Route 37, St. Regis Mohawk Tribe, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-6245 |