| Mr Alexander Racicot, PA-C | |
|
1942 Military Tpke, Plattsburgh, NY 12901-7375 | |
| (518) 310-3644 | |
| (518) 310-3645 |
| Full Name | Mr Alexander Racicot |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1942 Military Tpke, Plattsburgh, 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 |
|---|---|---|---|
| 1902299423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 018497 (New York) | Primary |
| Entity Name | Kristin Ambler |
|---|---|
| Entity Type | Practitioner - Internal Medicine |
| Entity Identifiers | NPI Number: 1407937485 PECOS PAC ID: 4688634256 Enrollment ID: I20041018000798 |
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alexander Racicot, PA-C 1942 Military Tpke, Plattsburgh, NY 12901-7375 Ph: (518) 310-3644 | Mr Alexander Racicot, PA-C 1942 Military Tpke, Plattsburgh, NY 12901-7375 Ph: (518) 310-3644 |
Staci Carter-kelly, RPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23 Hammond Ln, Plattsburgh, NY 12901 Phone: 518-561-1322 Fax: 518-561-3420 |
Marc A Downs, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 675 State Route 3, Plattsburgh, NY 12901 Phone: 518-566-0672 Fax: 518-566-0641 |
Leo P Lawrence, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 Fax: 518-561-0881 |
Ms. Deborah Monroe Kampschror, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Cornelia St, Suite 101, Plattsburgh, NY 12901 Phone: 518-562-7990 Fax: 518-562-7991 |
Mrs. Phyllis Mccullum, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 96 Court St, Plattsburgh, NY 12901 Phone: 518-562-1080 |
Mariah Helene Simons, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 |
David W Frostick, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 Fax: 518-314-3117 |