| Mr Michael Charles Connell, PA | |
|
3 Irongate Ctr, Glens Falls, NY 12801-3471 | |
| (518) 793-4409 | |
| (518) 615-0140 |
| Full Name | Mr Michael Charles Connell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3 Irongate Ctr, Glens Falls, 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 |
|---|---|---|---|
| 1568645083 | NPI | - | NPPES |
| 002970 | Other | NY | NYS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002970 (New York) | Primary |
| Entity Name | Saratoga Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033371166 PECOS PAC ID: 6406740273 Enrollment ID: O20040402000837 |
| Entity Name | Irongate Family Practice Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851326326 PECOS PAC ID: 4981602307 Enrollment ID: O20061120000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Charles Connell, PA 19 West Ave Ste 103, Saratoga Springs, NY 12866-6052 Ph: (518) 583-0111 | Mr Michael Charles Connell, PA 3 Irongate Ctr, Glens Falls, NY 12801-3471 Ph: (518) 793-4409 |
Jennifer S Case, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Broad St, Glens Falls, NY 12801 Phone: 518-792-2223 Fax: 518-792-8231 |
Kristin L Williford, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Park St, Glens Falls, NY 12801 Phone: 518-761-0300 Fax: 518-480-0119 |
Elizabeth D Crawford, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Broad St, Glens Falls, NY 12801 Phone: 518-792-2223 Fax: 518-792-8231 |
Evan Markessinis, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Park St, Glens Falls, NY 12801 Phone: 518-926-1000 |
Eric Gold, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 S Western Ave, Glens Falls, NY 12801 Phone: 518-745-5280 |
Melody K Markessinis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Park St, Glens Falls Hospital Hospitalist Program, Glens Falls, NY 12801 Phone: 518-926-5925 Fax: 518-926-5917 |
Amanda Leigh Clements, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 90 South St, Glens Falls, NY 12801 Phone: 518-792-7841 Fax: 518-932-0289 |