| Rebecca Martin, | |
|
112 Kimball Ave, Penn Yan, NY 14527-1816 | |
| (315) 531-9102 | |
| (315) 531-9103 |
| Full Name | Rebecca Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 112 Kimball Ave, Penn Yan, 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 |
|---|---|---|---|
| 1003286881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F340055 (New York) | Primary |
| Entity Name | Clifton Springs Sanitarium Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569 |
| Entity Name | Finger Lakes Migrant Health Care Project, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114198819 PECOS PAC ID: 0244251486 Enrollment ID: O20051215000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Martin, Po Box 423, 14 Maiden Lane, Penn Yan, NY 14527-0423 Ph: (315) 531-9102 | Rebecca Martin, 112 Kimball Ave, Penn Yan, NY 14527-1816 Ph: (315) 531-9102 |
Ms. Joy Elaine Schank, RN, MSN, ANP, CWOCN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 418 N Main St, Penn Yan, NY 14527 Phone: 315-536-3368 Fax: 315-536-4729 | |
Jean Marie Dabbracci, ADULT NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1930 Pre Emption Rd, Penn Yan, NY 14527 Phone: 315-536-0086 Fax: 315-536-4107 | |
Shannon Trottier, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Kimball Ave, Penn Yan, NY 14527 Phone: 315-536-2752 | |
Paul E Mitchell, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1930 Pre Emption Rd, Penn Yan, NY 14527 Phone: 315-536-0086 Fax: 315-536-4107 | |
Marilyn S Sutherland, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465 N Main St, Jdk Behavorial Health Center, Penn Yan, NY 14527 Phone: 315-531-2400 | |
Lois V. Howard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 Liberty St, Penn Yan, NY 14527 Phone: 315-536-2311 |