| Adirondack Medical Practice Llc | |
|
3384 Rt 22 Peru NY 12972 | |
| (518) 643-8008 | |
| Not Available |
| Full Name | Adirondack Medical Practice Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3384 Rt 22, Peru, New York |
| Authorized Official Name and Position | Anthony Francis Politi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5186438008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adirondack Medical Practice Llc 3384 Rt 22 Peru NY 12972 Ph: (518) 643-8008 | Adirondack Medical Practice Llc 3384 Rt 22 Peru NY 12972 Ph: (518) 643-8008 |
| NPI Number | 1518136001 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 02/28/2008 |
| Medicare PECOS PAC ID | 0446338941 |
|---|---|
| Medicare Enrollment ID | O20080424000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518136001 | NPI | - | NPPES |
| Provider Name | Gaylen M Bigelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073660684 PECOS PAC ID: 1759418007 Enrollment ID: I20100419000830 |
| Provider Name | Aimee B Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922553361 PECOS PAC ID: 9133408479 Enrollment ID: I20161109001817 |
| Provider Name | Glenn H Fredenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679152664 PECOS PAC ID: 2668876871 Enrollment ID: I20210810004077 |
| Provider Name | Kelly L Drollette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895428 PECOS PAC ID: 5193121531 Enrollment ID: I20210909002243 |
| Provider Name | Michelle Marie Rushby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831862663 PECOS PAC ID: 8325436058 Enrollment ID: I20211028001514 |
| Provider Name | Renee Bull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205590940 PECOS PAC ID: 2062806995 Enrollment ID: I20220218001370 |
| Provider Name | Paige M Darby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932764560 PECOS PAC ID: 8022491240 Enrollment ID: I20220819001627 |
| Provider Name | Elizabeth M Lawliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750006227 PECOS PAC ID: 5193196764 Enrollment ID: I20230118000620 |
David Smith Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Elm St, Peru, NY 12972 Phone: 518-643-7037 Fax: 518-643-2125 | |
Peru Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Elm St, Peru, NY 12972 Phone: 518-643-7037 Fax: 518-643-2125 | |
Adirondack Healthcare Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3384 State Route 22, Peru, NY 12972 Phone: 518-643-8008 Fax: 518-643-8090 |