| Mr Michael Christopher Secallus, FNP | |
|
20 East Main Street, Marathon, NY 13803 | |
| (607) 849-3271 | |
| Not Available |
| Full Name | Mr Michael Christopher Secallus |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 20 East Main Street, Marathon, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730787128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 339980 (New York) | Primary |
| 207Q00000X | Family Medicine | F339980-1 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Memorial Hospital, Inc | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of Lourdes Memorial Hospital Inc | 1254237779 | 249 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Christopher Secallus, FNP 85 S West St, Homer, NY 13077-1542 Ph: (607) 753-3797 | Mr Michael Christopher Secallus, FNP 20 East Main Street, Marathon, NY 13803 Ph: (607) 849-3271 |
Ms. Erica Z. Burkert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 East Main Street, Marathon, NY 13803 Phone: 607-849-3900 |
Nicole Marie Gilbert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Albro Rd, Marathon, NY 13803 Phone: 607-849-3180 |
Elizabeth Marie Sovocool, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Albro Rd, Marathon, NY 13803 Phone: 607-849-3180 Fax: 607-662-4919 |
Joanne E Speicher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22-24 East Main Street, Marathon, NY 13803 Phone: 607-849-3271 Fax: 607-849-6357 |
Natalia Lynne Mccormick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 East Main Street, Marathon, NY 13803 Phone: 607-849-3271 |
Mrs. Carly Alexandra Latta, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Albro Rd, Marathon, NY 13803 Phone: 607-753-3797 |
Heather June Teribury, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 East Main Street, Marathon, NY 13803 Phone: 607-849-3271 |