| Nicolette Van Horn, | |
|
921 Wayne St, Olean, NY 14760-2255 | |
| (716) 379-8600 | |
| Not Available |
| Full Name | Nicolette Van Horn |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 921 Wayne St, Olean, 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 |
|---|---|---|---|
| 1295150142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 016467 (New York) | Primary |
| 363A00000X | Physician Assistant | OA003024 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Urgent Care Llc | 9335303155 | 300 |
| Entity Name | Medstar Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871843409 PECOS PAC ID: 9335303155 Enrollment ID: O20130513000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolette Van Horn, 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 Ph: (716) 836-4646 | Nicolette Van Horn, 921 Wayne St, Olean, NY 14760-2255 Ph: (716) 379-8600 |
Brian M Hill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-375-7317 Fax: 716-362-9518 |
Lori Kay Morrill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 623 Main St Ste 200, Olean, NY 14760 Phone: 716-701-1818 Fax: 716-701-1820 |
Katherine Burlingame, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2646 W State St, Olean, NY 14760 Phone: 716-373-8870 Fax: 716-373-8871 |
James Tkacik, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 Main St, Olean, NY 14760 Phone: 716-372-0141 |
Ashley Madura, Physician Assistant Medicare: Medicare Enrolled Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-373-2600 |
Julie A Elsigan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 135 N Union St, Blue Bird Square, Olean, NY 14760 Phone: 716-375-7500 Fax: 716-701-6853 |
Courtney Louise Snow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 Main St Ste 1, Olean, NY 14760 Phone: 716-372-0141 Fax: 716-373-6632 |