| Shannon Cotter, FNP-C | |
|
2 Rubin Dr, Rushville, NY 14544-9681 | |
| (585) 554-4400 | |
| (844) 683-9216 |
| Full Name | Shannon Cotter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2 Rubin Dr, Rushville, 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 |
|---|---|---|---|
| 1265246268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F355954-01 (New York) | Primary |
| Entity Name | Mosaic Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528428208 PECOS PAC ID: 4385826585 Enrollment ID: O20110309000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Cotter, FNP-C 230 Jefferson Ave, Canandaigua, NY 14424-2600 Ph: (315) 481-9750 | Shannon Cotter, FNP-C 2 Rubin Dr, Rushville, NY 14544-9681 Ph: (585) 554-4400 |
Dr. Sarah R Russell, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Rubin Dr, Rushville, NY 14544 Phone: 585-554-4400 | |
Jessica Frazo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Rubin Dr, Rushville, NY 14544 Phone: 585-554-4400 | |
Kelly Elisha R Bowen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Rubin Dr, Rushville, NY 14544 Phone: 585-554-4400 Fax: 844-683-9216 |