| Columbia Memorial Regional Medical Pllc | |
|
71 Prospect Ave Hudson NY 12534-2907 | |
| (518) 828-7601 | |
| Not Available |
| Full Name | Columbia Memorial Regional Medical Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 71 Prospect Ave, Hudson, New York |
| Authorized Official Name and Position | Bryan Mahoney (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5188288090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Memorial Regional Medical Pllc Po Box 2000 Hudson NY 12534-2000 Ph: (518) 828-7601 | Columbia Memorial Regional Medical Pllc 71 Prospect Ave Hudson NY 12534-2907 Ph: (518) 828-7601 |
| NPI Number | 1861072670 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 07/13/2021 |
| Medicare PECOS PAC ID | 2567865447 |
|---|---|
| Medicare Enrollment ID | O20210729002761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861072670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Brett H Margolias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669558458 PECOS PAC ID: 8325930951 Enrollment ID: I20040327000113 |
| Provider Name | Robert M Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740205905 PECOS PAC ID: 1658314406 Enrollment ID: I20050602001207 |
| Provider Name | Michael U Weisberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942362009 PECOS PAC ID: 4385646199 Enrollment ID: I20070711000574 |
| Provider Name | Julia V Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477980712 PECOS PAC ID: 7214163237 Enrollment ID: I20131122000254 |
| Provider Name | Emily F Warburton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851718258 PECOS PAC ID: 3971729849 Enrollment ID: I20140730000145 |
| Provider Name | Teal A Gasbarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154722213 PECOS PAC ID: 2365662426 Enrollment ID: I20141013002009 |
| Provider Name | Ashley R Telisky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205194214 PECOS PAC ID: 9436370319 Enrollment ID: I20141017000266 |
| Provider Name | Sara L Collesides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528767084 PECOS PAC ID: 5890169163 Enrollment ID: I20230328002431 |
| Provider Name | Helena M Spooner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821869348 PECOS PAC ID: 1456798115 Enrollment ID: I20240318002758 |
Columbia Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Prospect Ave, Hudson, NY 12534 Phone: 518-828-8224 Fax: 518-828-8167 | |
Columbia Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Prospect Ave, Suite 210, Hudson, NY 12534 Phone: 518-828-3327 Fax: 518-697-8158 | |
Columbia Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Prospect Ave, Suite L40, Hudson, NY 12534 Phone: 518-697-6000 Fax: 518-697-5345 | |
Columbia Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Prospect Ave, Suite 130, Hudson, NY 12534 Phone: 518-697-3540 Fax: 518-697-3551 | |
Columbia Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 71 Prospect Ave, Hudson, NY 12534 Phone: 518-828-7601 | |
Fairview Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Fairview Ave, Hudson, NY 12534 Phone: 518-828-4062 | |
Columbia Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Prospect Ave, Hudson, NY 12534 Phone: 518-828-8514 Fax: 518-697-5328 |