| Olive Tree Medical Associates Pllc | |
| 
					7505 Foote Rd Clinton NY 13323-3403  | |
| (315) 269-4063 | |
| (315) 338-5407 | 
| Full Name | Olive Tree Medical Associates Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 7505 Foote Rd, Clinton, New York | 
| Authorized Official Name and Position | Brian Chase (OWNER) | 
| Authorized Official Contact | 3152694063 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Olive Tree Medical Associates Pllc 7505 Foote Rd Clinton NY 13323-3403 Ph: (315) 269-4063  | Olive Tree Medical Associates Pllc 7505 Foote Rd Clinton NY 13323-3403 Ph: (315) 269-4063  | 
| NPI Number | 1851762173 | 
|---|---|
| Provider Enumeration Date | 10/13/2015 | 
| Last Update Date | 10/13/2015 | 
| Medicare PECOS PAC ID | 3072814383 | 
|---|---|
| Medicare Enrollment ID | O20151210001045 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851762173 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 253515 (New York) | Primary | 
| Provider Name | Brian J Chase | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1881847598 PECOS PAC ID: 1759434475 Enrollment ID: I20090728000783  | 
| Provider Name | Shannon Meyers | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1164653622 PECOS PAC ID: 2466597398 Enrollment ID: I20100303000859  | 
| Provider Name | Lisa C Anweiler | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104054428 PECOS PAC ID: 8123154044 Enrollment ID: I20100330001269  | 
| Provider Name | Maxine E Jones | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1447487418 PECOS PAC ID: 8426188319 Enrollment ID: I20100621000340  | 
| Provider Name | Elizabeth M Checola | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326334590 PECOS PAC ID: 2163692732 Enrollment ID: I20110909002593  | 
| Provider Name | John A Pylman | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1053560805 PECOS PAC ID: 3072744465 Enrollment ID: I20140328000245  | 
Principal Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Robinson Rd, Clinton, NY 13323 Phone: 315-853-6090 Fax: 315-853-3190  | |
Building Blocks Learning Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Robinson Rd, Clinton, NY 13323 Phone: 315-853-6090 Fax: 315-853-3190  | |
Scott S. Brehaut, Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 129 Utica Rd, Clinton, NY 13323 Phone: 315-381-3576 Fax: 315-381-3942  |