| Michelle Kutalek, | |
|
1 Foxcare Dr, Suite 103, Oneonta, NY 13820-2099 | |
| (607) 431-5757 | |
| Not Available |
| Full Name | Michelle Kutalek |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1 Foxcare Dr, Oneonta, 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 |
|---|---|---|---|
| 1750750758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F339753 (New York) | Primary |
| 163W00000X | Registered Nurse | 604782 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Memorial Hospital, Inc | Binghamton, NY | Hospital |
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 249 |
| United Health Services Hospitals, Inc. | 5193610533 | 471 |
| Entity Name | United Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
| Entity Name | Our Lady of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Entity Name | United Health Services Hospitals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Kutalek, 1 Foxcare Dr, Suite 103, Oneonta, NY 13820-2099 Ph: (607) 431-5757 | Michelle Kutalek, 1 Foxcare Dr, Suite 103, Oneonta, NY 13820-2099 Ph: (607) 431-5757 |
Jennifer Lynne Panzarella, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Foxcare Dr Ste 308, Oneonta, NY 13820 Phone: 607-431-5555 |
Shirley Ann Earl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Foxcare Dr, Oneonta, NY 13820 Phone: 607-376-0145 |
Mrs. Jennifer L Grigoli, PMHNP, DNS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Maple St, Oneonta, NY 13820 Phone: 607-287-2125 Fax: 607-287-2125 |
Mrs. Amy Jo Gardner, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Foxcare Dr, Oneonta Family Practice, Oneonta, NY 13820 Phone: 607-431-5366 |
Charmaine Clarke-davis, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 739 State Highway 28 Ste 9, Oneonta, NY 13820 Phone: 607-431-1015 Fax: 607-431-1050 |
Thida San, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 739 State Highway 28 Ste 9, Oneonta, NY 13820 Phone: 607-431-1015 |
Mrs. Lori C. Baldanza, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Foxcare Dr Ste 308, Oneonta, NY 13820 Phone: 607-432-1163 Fax: 607-431-5367 |