| Mrs Rachel Marie Lacelle, FNP | |
|
101 College St, Clinton, NY 13323-1634 | |
| (315) 853-5532 | |
| (315) 853-1003 |
| Full Name | Mrs Rachel Marie Lacelle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 101 College St, Clinton, 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 |
|---|---|---|---|
| 1871772376 | NPI | - | NPPES |
| P00850445 | Other | NY | RRMCR |
| 02958712 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F335242 (New York) | Primary |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rachel Marie Lacelle, FNP 101 College St, Clinton, NY 13323-1634 Ph: (315) 853-5532 | Mrs Rachel Marie Lacelle, FNP 101 College St, Clinton, NY 13323-1634 Ph: (315) 853-5532 |
Mrs. Jenna Hubbard Waters, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Chenango Ave, Clinton, NY 13323 Phone: 315-853-5550 | |
Julie J Shankman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 College St, Clinton, NY 13323 Phone: 315-853-5532 Fax: 315-853-1003 | |
Eun Jung Suh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 College St, Clinton, NY 13323 Phone: 315-853-5532 Fax: 315-853-1003 | |
Dr. Deanna N Brady, DNP, NPP-BC, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Kirkland Ave Ste 202, Clinton, NY 13323 Phone: 315-853-2125 Fax: 315-853-2125 | |
Nancy Rayne, MS, PMH NP, CNS, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7325 State Route 5, Clinton, NY 13323 Phone: 315-859-1973 | |
Christine A Dunn, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34 Chenango Ave, Clinton, NY 13323 Phone: 315-853-5550 | |
Amy Wilkinson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34 Chenango Ave, Clinton, NY 13323 Phone: 315-853-5550 Fax: 315-853-5580 |