| Otsego Medical Services Pc | |
|
6 Country Club Road Oneonta NY 13820 | |
| (607) 431-2525 | |
| (607) 432-1110 |
| Full Name | Otsego Medical Services Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6 Country Club Road, Oneonta, New York |
| Authorized Official Name and Position | Eric A Dohner (OWNER) |
| Authorized Official Contact | 6074312525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Otsego Medical Services Pc 6 Country Club Road Oneonta NY 13820 Ph: (607) 431-2525 | Otsego Medical Services Pc 6 Country Club Road Oneonta NY 13820 Ph: (607) 431-2525 |
| NPI Number | 1699748624 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 07/12/2022 |
| Medicare PECOS PAC ID | 0941381644 |
|---|---|
| Medicare Enrollment ID | O20080131000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699748624 | NPI | - | NPPES |
| 01515616 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric A Dohner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801869821 PECOS PAC ID: 9739172735 Enrollment ID: I20040406000567 |
| Provider Name | Anne M St Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932148194 PECOS PAC ID: 1850589599 Enrollment ID: I20101222000817 |
| Provider Name | John D Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760512586 PECOS PAC ID: 9133282650 Enrollment ID: I20130924000248 |
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Aurelia Osborn Fox Memorial Hospital Qfp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Foxcare Dr, Suite # 103, Oneonta, NY 13820 Phone: 607-431-5757 | |
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