| Evernorth Medical Care Providers New York Professional Corporation | |
|
555 Broadhollow Rd Ste 305 Melville NY 11747-5018 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Evernorth Medical Care Providers New York Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 555 Broadhollow Rd Ste 305, Melville, New York |
| Authorized Official Name and Position | Jacqueline D Lakes (SENIOR PARALEGAL) |
| Authorized Official Contact | 9544460640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Medical Care Providers New York Professional Corporation 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Medical Care Providers New York Professional Corporation 555 Broadhollow Rd Ste 305 Melville NY 11747-5018 Ph: (773) 292-4800 |
| NPI Number | 1205234291 |
|---|---|
| Provider Enumeration Date | 12/08/2014 |
| Last Update Date | 07/14/2025 |
| Medicare PECOS PAC ID | 2365813904 |
|---|---|
| Medicare Enrollment ID | O20230119000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205234291 | NPI | - | NPPES |
| Provider Name | Linda L Mooney-sumpter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336163989 PECOS PAC ID: 5597764266 Enrollment ID: I20061206000197 |
| Provider Name | Lorane Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285894857 PECOS PAC ID: 3779658877 Enrollment ID: I20080825000650 |
| Provider Name | Jezaida Rivera-alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265079651 PECOS PAC ID: 3577962281 Enrollment ID: I20210601000805 |
| Provider Name | Shannon Alsop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003043803 PECOS PAC ID: 7517121742 Enrollment ID: I20230119000585 |
| Provider Name | Matia Lavonne Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730775958 PECOS PAC ID: 0547659146 Enrollment ID: I20240815003253 |
Sme New Jersey P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Legends Cir, Melville, NY 11747 Phone: 347-294-0581 | |
Sme Texas Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Legends Cir, Melville, NY 11747 Phone: 646-673-1660 | |
Sme Arizona P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Legends Cir, Melville, NY 11747 Phone: 347-294-0581 | |
Sme Tennessee Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Legends Cir, Melville, NY 11747 Phone: 646-673-1660 | |
Alvin D. Holcomb, Md P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 W Farm Dr, Melville, NY 11747 Phone: 631-277-1501 Fax: 631-277-2798 | |
Long Island Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Old Country Rd Ste 170, Melville, NY 11747 Phone: 631-271-9151 Fax: 631-271-9155 |