| Samantha Jo Prendergast, FNP-BC | |
|
1656 Champlin Ave Ste 406, Utica, NY 13502-4830 | |
| (315) 269-9443 | |
| Not Available |
| Full Name | Samantha Jo Prendergast |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1656 Champlin Ave Ste 406, Utica, 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 |
|---|---|---|---|
| 1124689963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 344571 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Faxton-st Luke's Healthcare | Utica, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Faxton-st Lukes Healthcare | 2769380252 | 291 |
| Entity Name | Faxton-st Lukes Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Jo Prendergast, FNP-BC 1923 Redfield Ave, Utica, NY 13501-2708 Ph: (315) 269-9443 | Samantha Jo Prendergast, FNP-BC 1656 Champlin Ave Ste 406, Utica, NY 13502-4830 Ph: (315) 269-9443 |
Sarah Dunham, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Champlin Ave, Utica, NY 13502 Phone: 315-624-8400 | |
Cynthia A Altieri, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Noyes St, Utica, NY 13502 Phone: 315-797-6800 | |
Thet Thet Mar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 | |
Barbara Jean Drake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2211 Genesee St Ste 200, Utica, NY 13501 Phone: 315-733-7598 Fax: 315-733-7694 | |
Michael S Babula, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Noyes St, Utica, NY 13502 Phone: 315-624-9471 Fax: 315-922-9502 | |
Vicki A. Haines, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, Suite 203, Utica, NY 13502 Phone: 315-738-0647 Fax: 315-738-9719 | |
Mrs. Susan Mary Kolb, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Digestive Disease Medicine Of Cny, Llp, 116 Business Park Drive, 1st Floor, Utica, NY 13502 Phone: 315-624-7000 Fax: 315-793-1129 |