| Shante Brady, FNP | |
|
7256 Route 209, Wawarsing, NY 12489-2016 | |
| (845) 647-5334 | |
| Not Available |
| Full Name | Shante Brady |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 7256 Route 209, Wawarsing, 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 |
|---|---|---|---|
| 1669072344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 346677 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 346677 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Garnet Health Medical Center | Middletown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Ny Professional Medical Pllc | 1153769708 | 2 |
| Rb Heart And Vascular Care Pllc | 9335501634 | 10 |
| Entity Name | Mehri Songhorian Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342276 PECOS PAC ID: 9830247121 Enrollment ID: O20090424000147 |
| Entity Name | Ion Oltean Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912236811 PECOS PAC ID: 6406990860 Enrollment ID: O20100223000519 |
| Entity Name | Brookview Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532 |
| Entity Name | Statline Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942872759 PECOS PAC ID: 7214333525 Enrollment ID: O20210913002004 |
| Entity Name | Rb Heart And Vascular Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902580681 PECOS PAC ID: 9335501634 Enrollment ID: O20230818000545 |
| Entity Name | Comprehensive Ny Professional Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750157111 PECOS PAC ID: 1153769708 Enrollment ID: O20240402003121 |
| Mailing Address | Practice Location Address |
|---|---|
| Shante Brady, FNP 525 Bloomingburg Rd, Middletown, NY 10940-8436 Ph: (845) 407-7942 | Shante Brady, FNP 7256 Route 209, Wawarsing, NY 12489-2016 Ph: (845) 647-5334 |