| Shayla Tatham, | |
|
45 W Main St, Cuba, NY 14727-1403 | |
| (585) 968-1628 | |
| Not Available |
| Full Name | Shayla Tatham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 45 W Main St, Cuba, 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 |
|---|---|---|---|
| 1407549066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 351972 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vna Of Western Ny Chha | Williamsville, NY | Home health agency |
| Olean General Hospital | Olean, NY | Hospital |
| Jones Memorial Hospital | Wellsville, NY | Hospital |
| Kaleida Health | Buffalo, NY | Hospital |
| Cuba Memorial Hospital, Inc | Cuba, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olean Medical Practice Pllc | 0042698045 | 55 |
| Entity Name | Olean Medical Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285384412 PECOS PAC ID: 0042698045 Enrollment ID: O20220603000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayla Tatham, 535 Main St, Olean, NY 14760-1500 Ph: () - | Shayla Tatham, 45 W Main St, Cuba, NY 14727-1403 Ph: (585) 968-1628 |
Sandy A Jackson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Center St, Cuba, NY 14727 Phone: 585-968-3210 | |
Julie Whitcher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 W Main St, Cuba, NY 14727 Phone: 716-375-7500 | |
Robin C Aftuck, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 W Main St, Cuba, NY 14727 Phone: 716-375-7500 Fax: 716-701-6888 | |
Mr. Brad Pecherzewski, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Center St, Cuba, NY 14727 Phone: 585-968-3210 Fax: 585-968-3031 | |
Nicole Drake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 W Main St, Cuba, NY 14727 Phone: 585-968-1628 | |
Ruth A Brewer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 W Main St, Cuba, NY 14727 Phone: 585-968-2000 Fax: 585-968-0371 |