| Medi Scene | |
|
585 Troy Schenectady Rd Latham NY 12110-2811 | |
| (518) 785-6004 | |
| (518) 785-1702 |
| Full Name | Medi Scene |
|---|---|
| Speciality | General Practice |
| Location | 585 Troy Schenectady Rd, Latham, New York |
| Authorized Official Name and Position | Everett Roy Forman (PRESIDENT) |
| Authorized Official Contact | 5188996657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi Scene 47 Sweet Rd Ballston Lake NY 12019-1805 Ph: (518) 899-6657 | Medi Scene 585 Troy Schenectady Rd Latham NY 12110-2811 Ph: (518) 785-6004 |
| NPI Number | 1144402983 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 12/19/2007 |
| Medicare PECOS PAC ID | 1557451630 |
|---|---|
| Medicare Enrollment ID | O20071212000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144402983 | NPI | - | NPPES |
| 01148 | Other | NY | MVP |
| 000401336001 | Other | NY | BLUE SHJELD OF NENY |
| 080031557 | Other | NY | MEDICARE RAILROAD |
| 10000672 | Other | NY | CDPHP |
| 49E991 | Other | NY | EMPIRE BLUEXBLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Everett R Forman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528061967 PECOS PAC ID: 4486744562 Enrollment ID: I20071212000701 |
Community Care Lab Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Wellness Way Ste G11, Latham, NY 12110 Phone: 518-782-3910 |
Clearskin Couture LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 Troy Schenectady Rd, Latham, NY 12110 Phone: 518-802-0072 |
Capital Region Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Wellness Way Ste 106b, Latham, NY 12110 Phone: 518-980-9040 Fax: 518-980-9041 |
Patricia V. Saunders MD, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Watervliet Shaker Rd, Latham, NY 12110 Phone: 518-785-3154 |
Albany Medical College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 Troy Schenectady Rd Ste 126, Latham, NY 12110 Phone: 518-264-5053 |
Prime Care Physicians, P.L.L.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 582 New Loudon Rd, Latham, NY 12110 Phone: 518-783-0072 Fax: 518-783-8138 |