| Ms Kim Lauren Trahan, PA | |
|
421 Plaza Dr, Vestal, NY 13850-3658 | |
| (607) 771-1700 | |
| (607) 873-1824 |
| Full Name | Ms Kim Lauren Trahan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 421 Plaza Dr, Vestal, 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 |
|---|---|---|---|
| 1922073709 | NPI | - | NPPES |
| 970020849 | Other | PA | RR MEDICARE PIN |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| GU039830 | Other | PA | PA MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 006561-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health | Corning, NY | Home health agency |
| Our Lady Of Lourdes Memorial Hospital, Inc | Binghamton, NY | Hospital |
| Arnot Ogden Medical Center | Elmira, NY | Hospital |
| 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 |
| Entity Name | Arnot Medical Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427326768 PECOS PAC ID: 0840450748 Enrollment ID: O20120330000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kim Lauren Trahan, PA 600 Ivy St Ste 206, Elmira, NY 14905-1627 Ph: (607) 271-2050 | Ms Kim Lauren Trahan, PA 421 Plaza Dr, Vestal, NY 13850-3658 Ph: (607) 771-1700 |
Bradly Lantz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145 |
Colleen Kramer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145 |
Gabrielle Aviles, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-770-7365 |
Viktoria Rauzin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4433 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-771-2220 |
Carri L Ross, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4104 Vestal Rd, Vestal Executive Park Suite 203, Vestal, NY 13850 Phone: 607-797-9036 Fax: 607-798-0601 |
Samantha Klenchik, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4433 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-771-2220 |
Cassie Erdmann, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145 |