| Patricia J Champlin, ANP | |
|
120 Gardenville Pkwy W, West Seneca, NY 14224 | |
| (716) 668-3600 | |
| (716) 606-4003 |
| Full Name | Patricia J Champlin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 120 Gardenville Pkwy W, West Seneca, 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 |
|---|---|---|---|
| 1366400699 | NPI | - | NPPES |
| 10767064 | Other | NY | CAQH |
| 9513172 | Other | NY | IHA |
| P00189067 | Other | NY | MEDICARE RAILROAD |
| 000560338004 | Other | NY | BCBS |
| 159955BJ | Other | NY | PREFERRED CARE |
| 040511000506 | Other | NY | FIDELIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 300246 (New York) | Primary |
| Entity Name | Kenmore Family Medicine Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124119029 PECOS PAC ID: 6901895036 Enrollment ID: O20040512000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia J Champlin, ANP 800 Carter Street, Attn Kelly Steele, Rochester, NY 14621 Ph: (585) 339-4793 | Patricia J Champlin, ANP 120 Gardenville Pkwy W, West Seneca, NY 14224 Ph: (716) 668-3600 |
Mrs. Diane Stonemetz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Orchard Park Road, West Seneca, NY 14224 Phone: 716-675-5222 Fax: 716-675-9329 | |
Ms. Anne Marie Veronica Bantle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Harlem Rd, West Seneca, NY 14224 Phone: 716-332-2121 Fax: 716-332-2122 | |
Michele Matala, A.N.P/F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 290 Center Rd, West Seneca, NY 14224 Phone: 716-677-4178 Fax: 716-677-4470 | |
Mrs. Colleen Ann Storms, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Nina Ter, West Seneca, NY 14224 Phone: 716-677-5148 | |
Mrs. Ruth Alice Shatzel, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3705 Seneca St, West Seneca, NY 14224 Phone: 716-674-2404 | |
Mrs. Tina Louise Vandermeer-gatti, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 290 Center Rd, West Seneca, NY 14224 Phone: 716-675-7693 Fax: 855-714-1253 | |
Ryan Michael Young, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Dyke Rd, West Seneca, NY 14224 Phone: 716-984-0606 |