| Matthew David Zegil, NP | |
|
77 W Barney St, Gouverneur, NY 13642-1040 | |
| (315) 287-1000 | |
| Not Available |
| Full Name | Matthew David Zegil |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 77 W Barney St, Gouverneur, 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 |
|---|---|---|---|
| 1881656536 | NPI | - | NPPES |
| 2592662B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5001565 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 340605 (New York) | Primary |
| Entity Name | Clifton-fine Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235184649 PECOS PAC ID: 9739090382 Enrollment ID: O20040511001168 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Gouverneur Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew David Zegil, NP 77 W Barney St, Gouverneur, NY 13642-1040 Ph: (315) 287-1000 | Matthew David Zegil, NP 77 W Barney St, Gouverneur, NY 13642-1040 Ph: (315) 287-1000 |
Meghan Mcgowan, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-535-1300 | |
Laurie Faye Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-1000 Fax: 315-535-9207 | |
Tara Hyneman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-1000 | |
Mrs. Rachel I Raven, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 W. Barney St., Gouverneur, NY 13642 Phone: 315-261-5871 Fax: 315-714-3068 |