| Reeba Thankachan, NP | |
|
5301 Barcaldine Dr, Clay, NY 13041-6913 | |
| (315) 254-5915 | |
| Not Available |
| Full Name | Reeba Thankachan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 5301 Barcaldine Dr, Clay, 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 |
|---|---|---|---|
| 1508319369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F340807-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Bassett Healthcare | Cooperstown, NY | Hospital |
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Oswego Hospital | Oswego, NY | Hospital |
| Guthrie Cortland Regional Medical Center | Cortland, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suny Health Science Center At Syracuse | 7214833086 | 170 |
| Entity Name | Suny Health Science Center At Syracuse |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184974529 PECOS PAC ID: 7214833086 Enrollment ID: O20031211000420 |
| Entity Name | University Surgical Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376590117 PECOS PAC ID: 7315834165 Enrollment ID: O20040304000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Reeba Thankachan, NP 5301 Barcaldine Dr, Clay, NY 13041-6913 Ph: (315) 254-5915 | Reeba Thankachan, NP 5301 Barcaldine Dr, Clay, NY 13041-6913 Ph: (315) 254-5915 |
Ms. Coleen Balch, MSN RN-BC ANP AACC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3946 Bonstead Rd, Clay, NY 13041 Phone: 315-695-6759 | |
Tracie Leinbach, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8239 Trevi Ln, Clay, NY 13041 Phone: 315-559-1631 | |
Caitlin Hoosock, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9179 Riverside Rd, Clay, NY 13041 Phone: 315-882-8753 |