Hudson Headwaters Health Network is a medicare enrolled "Clinic/center - Primary Care" provider in Gansevoort, New York. Their current practice location is
1299 Route 9, Gansevoort, New York. You can reach out to their office (for appointments etc.) via phone at
(518) 761-6961.
Hudson Headwaters Health Network is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Hudson Headwaters Health Network
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1356355952.
Healthcare Provider's Profile
| Full Name | Hudson Headwaters Health Network |
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| Type | Facility |
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| Speciality | Clinic/center - Primary Care |
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| Location | 1299 Route 9, Gansevoort, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356355952
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416861208
- Enrollment ID: O20090702000512
Medical Identifiers
Medical identifiers for Hudson Headwaters Health Network such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356355952 | NPI | - | NPPES |
| 03289470 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hudson Headwaters Health Network is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Hudson Headwaters Health Network
9 Carey Rd,
Queensbury, NY 12804-7880
Ph: (518) 761-0300 | Hudson Headwaters Health Network
1299 Route 9,
Gansevoort, NY 12831-1560
Ph: (518) 761-6961 |
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