| Mrs Katherine Bailey Halstead, FNP | |
|
28 1/2 E Main St, Marcellus, NY 13108-1298 | |
| (315) 673-9926 | |
| (315) 673-9465 |
| Full Name | Mrs Katherine Bailey Halstead |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 28 1/2 E Main St, Marcellus, 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 |
|---|---|---|---|
| 1528670593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F346103 (New York) | Primary |
| Entity Name | Marcellus Family Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245427640 PECOS PAC ID: 6406938646 Enrollment ID: O20080128000419 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katherine Bailey Halstead, FNP 391 Northfield Way, Camillus, NY 13031-1303 Ph: (315) 481-1155 | Mrs Katherine Bailey Halstead, FNP 28 1/2 E Main St, Marcellus, NY 13108-1298 Ph: (315) 673-9926 |
Reina Baizan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28 E Main St, Marcellus, NY 13108 Phone: 315-673-9926 | |
Anna J. Sturtz, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1/2 Orange Street, Marcellus, NY 13108 Phone: 315-673-1529 | |
Nancy B Hudson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 1/2 E Main St, Marcellus, NY 13108 Phone: 315-673-9926 Fax: 315-673-9465 | |
Kathryn Rose Jordan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 1/2 E Main St, Marcellus, NY 13108 Phone: 315-673-9926 | |
Jenna O'donnell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2393 Glover Rd, Marcellus, NY 13108 Phone: 607-329-3188 |