| Mr Mark Patrick St John, FNP | |
|
7740 Meigs Rd, Baldwinsville, NY 13027-9757 | |
| (315) 638-2521 | |
| (315) 638-2552 |
| Full Name | Mr Mark Patrick St John |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 7740 Meigs Rd, Baldwinsville, 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 |
|---|---|---|---|
| 1295999266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F335622 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | F335622 (New York) | Primary |
| Entity Name | St Joseph's Physician Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154376770 PECOS PAC ID: 9436041431 Enrollment ID: O20040325001159 |
| Entity Name | Syracuse Home Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396742482 PECOS PAC ID: 2769477157 Enrollment ID: O20040415001150 |
| Entity Name | St Josephs Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Patrick St John, FNP 7740 Meigs Rd, Baldwinsville, NY 13027-9757 Ph: (315) 638-2521 | Mr Mark Patrick St John, FNP 7740 Meigs Rd, Baldwinsville, NY 13027-9757 Ph: (315) 638-2521 |
Mrs. Sarah Jane Tyner, MSN, RN, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7675 Poplar Field Cir, Baldwinsville, NY 13027 Phone: 305-915-5133 Fax: 315-638-6240 | |
Jacqueline Cristine Depaulis Fiumano, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Belgium Rd, Baldwinsville, NY 13027 Phone: 315-671-5790 Fax: 315-671-5791 | |
Susan M Stoltzman, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3448 Route 31, Baldwinsville, NY 13027 Phone: 315-622-6595 Fax: 315-622-3298 | |
Saba Ashcraft, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3036 Walpole Ln, Baldwinsville, NY 13027 Phone: 315-657-8391 | |
Julie Carpenter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29 E Oneida St, Baldwinsville, NY 13027 Phone: 315-638-6018 Fax: 315-635-3970 | |
Michelle Sheldon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8710 Radburn Dr, Baldwinsville, NY 13027 Phone: 315-254-8210 |