| Mrs Amanda L Rosen, | |
|
909 Strawberry Ln, Clayton, NY 13624-1409 | |
| (315) 686-2094 | |
| Not Available |
| Full Name | Mrs Amanda L Rosen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 909 Strawberry Ln, Clayton, 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 |
|---|---|---|---|
| 1508535337 | NPI | - | NPPES |
| 06903011 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 348027 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samaritan Home Health, Inc | Watertown, NY | Home health agency |
| Jefferson Co Pub Hlth Svs Chha | Watertown, NY | Home health agency |
| Samaritan Medical Center | Watertown, NY | Hospital |
| River Hospital Clinics | Alexandria bay, NY | Hospital |
| Carthage Area Hospital, Inc | Carthage, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Samaritan Medical Center | 8123914876 | 157 |
| Entity Name | Samaritan Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525 |
| Entity Name | Samaritan Keep Nursing Home Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336197839 PECOS PAC ID: 1951574490 Enrollment ID: O20180507000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda L Rosen, 909 Strawberry Ln, Clayton, NY 13624-1409 Ph: (315) 686-2094 | Mrs Amanda L Rosen, 909 Strawberry Ln, Clayton, NY 13624-1409 Ph: (315) 686-2094 |
Sonja Pierce, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 909 Strawberry Ln, Clayton, NY 13624 Phone: 315-686-2094 Fax: 315-686-2821 |