| Impact Care Physicians Ny PC | |
|
250 Skillman St Ste 202 Brooklyn NY 11205-1218 | |
| (212) 734-6621 | |
| Not Available |
| Full Name | Impact Care Physicians Ny PC |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Skillman St Ste 202, Brooklyn, New York |
| Authorized Official Name and Position | Eli Wercberger (OFFICER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Care Physicians Ny PC 250 Skillman St Ste 202 Brooklyn NY 11205-1218 | Impact Care Physicians Ny PC 250 Skillman St Ste 202 Brooklyn NY 11205-1218 Ph: (212) 734-6621 |
| NPI Number | 1538015854 |
|---|---|
| Provider Enumeration Date | 03/09/2026 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Medicare PECOS PAC ID | 0547738734 |
|---|---|
| Medicare Enrollment ID | O20260506001384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538015854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Marlene Whitbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578898409 PECOS PAC ID: 9436336831 Enrollment ID: I20110613000553 |
| Provider Name | Elizabeth a Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114275153 PECOS PAC ID: 6901051234 Enrollment ID: I20130312000362 |
| Provider Name | Sara R Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063893451 PECOS PAC ID: 7113227299 Enrollment ID: I20151120001704 |
| Provider Name | Maykol G Alarcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598265613 PECOS PAC ID: 1557626967 Enrollment ID: I20180605001708 |
| Provider Name | Sejla Grosonja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124689948 PECOS PAC ID: 6800125956 Enrollment ID: I20190916000447 |
| Provider Name | Corrin Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285312728 PECOS PAC ID: 7911445648 Enrollment ID: I20240813002967 |
| Provider Name | Eli Wercberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023679974 PECOS PAC ID: 0446616494 Enrollment ID: I20240817000185 |
| Provider Name | Khisraw Nawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912892613 PECOS PAC ID: 7315459971 Enrollment ID: I20250620001351 |
| Provider Name | Ashley Huening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215824727 PECOS PAC ID: 0446763684 Enrollment ID: I20250701000448 |
| Provider Name | Tiffany Huening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518853860 PECOS PAC ID: 3678073327 Enrollment ID: I20250826002957 |
| Provider Name | Darline Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801584982 PECOS PAC ID: 4880164029 Enrollment ID: I20260618004246 |
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