| Melissa R Butler, NP | |
|
5719 Widewaters Pkwy, Syracuse, NY 13214-1985 | |
| (315) 251-3100 | |
| (315) 449-9923 |
| Full Name | Melissa R Butler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 5719 Widewaters Pkwy, Syracuse, 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 |
|---|---|---|---|
| 1093763617 | NPI | - | NPPES |
| 02694526 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F302431 (New York) | Primary |
| Entity Name | Syracuse Orthopedic Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669410379 PECOS PAC ID: 6406760073 Enrollment ID: O20031118000264 |
| Entity Name | Suny Health Science Center At Syracuse |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184974529 PECOS PAC ID: 7214833086 Enrollment ID: O20031211000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa R Butler, NP 5824 Widewaters Pkwy, East Syracuse, NY 13057-3072 Ph: (315) 251-3105 | Melissa R Butler, NP 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 Ph: (315) 251-3100 |
Janice M Agen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202 Phone: 315-464-5210 Fax: 315-464-2141 | |
Irene S Borja, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Mrs. Yingzi Wang, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Michele Rene Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 | |
Nicole Marie Voudren, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-254-6914 Fax: 315-464-8524 | |
Mary Jean Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Frances I Swiecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |