| Mr Matthew A Privett, FNP | |
|
281 Root Rd, Brockport, NY 14420-9730 | |
| (585) 395-9158 | |
| Not Available |
| Full Name | Mr Matthew A Privett |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 281 Root Rd, Brockport, 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 |
|---|---|---|---|
| 1285270645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F346519 (New York) | Primary |
| 163W00000X | Registered Nurse | 485518-1 (New York) | Secondary |
| Entity Name | Finger Lakes Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114198819 PECOS PAC ID: 0244251486 Enrollment ID: O20051215000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew A Privett, FNP 281 Root Rd, Brockport, NY 14420-9730 Ph: (585) 395-9158 | Mr Matthew A Privett, FNP 281 Root Rd, Brockport, NY 14420-9730 Ph: (585) 395-9158 |
Elsie Anne Young, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6668 4th Section Rd, Brockport, NY 14420 Phone: 585-368-6870 |
Casey Lynn Miller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6555 Fourth Section Rd, Brockport, NY 14420 Phone: 585-431-5364 |
Trista Jamie Teets, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 West Ave, Brockport, NY 14420 Phone: 585-637-3905 |
Abigail Kelley, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 West Ave, Brockport, NY 14420 Phone: 585-637-3905 |
Thomas G Shafer, NPP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 New Campus Dr, Suny College At Brockport, Brockport, NY 15520 Phone: 585-395-2207 |
Karyn Felice, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 170 West Ave, Brockport, NY 14420 Phone: 585-395-6052 |
Cheryl M Van Lare, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 New Campus Dr, Hazen Student Health Center, Brockport, NY 14420 Phone: 585-395-2414 |