| Mrs Lisa Hawthorne, ANP | |
|
260 Township Blvd, Ste 20, Camillus, NY 13031-1674 | |
| (315) 708-0091 | |
| (315) 708-0194 |
| Full Name | Mrs Lisa Hawthorne |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 260 Township Blvd, Camillus, 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 |
|---|---|---|---|
| 1275509416 | NPI | - | NPPES |
| 02410204 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F302679-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oswego Hospital | Oswego, NY | Hospital |
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In | 3274445796 | 251 |
| Entity Name | Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051 |
| Entity Name | Suny Health Science Center At Syracuse |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184974529 PECOS PAC ID: 7214833086 Enrollment ID: O20031211000420 |
| Entity Name | University Surgical Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376590117 PECOS PAC ID: 7315834165 Enrollment ID: O20040304000499 |
| Entity Name | Associated Gastroenterologists Of Central New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013938174 PECOS PAC ID: 3375512213 Enrollment ID: O20040928000914 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Hawthorne, ANP 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 Ph: (315) 708-0190 | Mrs Lisa Hawthorne, ANP 260 Township Blvd, Ste 20, Camillus, NY 13031-1674 Ph: (315) 708-0091 |
Lori Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 439 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996 | |
Nicole Lavalle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Township Blvd, Camillus, NY 13031 Phone: 315-487-1541 | |
Ms. Alyssa Catherine Robens, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5639 W Genesee St, Camillus, NY 13031 Phone: 315-468-6888 Fax: 315-468-6892 | |
Judith C Garrett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5415 W Genesee St, Suite 301, Camillus, NY 13031 Phone: 315-487-8540 Fax: 315-487-5680 | |
Kathleen M O'connor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 436 Hinsdale Rd, Camillus, NY 13031 Phone: 315-488-0996 Fax: 315-488-1955 | |
Nancy Popps, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5415 W Genesee St Ste 301, Camillus, NY 13031 Phone: 315-487-8109 Fax: 315-487-5680 | |
Abigail Marie Brunner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 208 Township Blvd, Suite 100, Camillus, NY 13031 Phone: 315-551-6000 Fax: 315-434-5300 |