| Renee P Fonseca, FNP-C | |
|
76 Veteran Ave, Bath, NY 14810 | |
| (607) 664-4000 | |
| Not Available |
| Full Name | Renee P Fonseca |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 76 Veteran Ave, Bath, 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 |
|---|---|---|---|
| 1407177793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 336393 (New York) | Primary |
| 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 | Southern Tier Medical Care - Ny Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134646276 PECOS PAC ID: 4981953106 Enrollment ID: O20180822000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee P Fonseca, FNP-C 4158 S Hill Rd, Campbell, NY 14821-9753 Ph: (607) 368-7063 | Renee P Fonseca, FNP-C 76 Veteran Ave, Bath, NY 14810 Ph: (607) 664-4000 |
Mrs. Muriel S Brown, GNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4727 | |
Ms. Sonia Kay Liberatore, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4000 | |
Ms. Ellen M Hey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 E Steuben St, Bath, NY 14810 Phone: 607-776-3063 Fax: 607-776-1011 | |
Mrs. Laura Paul, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6890 County Route 113, Bath, NY 14810 Phone: 607-776-3063 | |
Dodi Owens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4000 | |
Cheryl Marie Nickerson, G.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7009 Rumsey Rd Extension, Bath, NY 14810 Phone: 607-661-9114 Fax: 607-664-1020 | |
Mrs. Jessica Price, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4000 |