| Lake City Primary Care Pllc | |
|
16 Degrandpre Way Suite 300 Plattsburgh NY 12901-6451 | |
| (518) 561-8256 | |
| Not Available |
| Full Name | Lake City Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 16 Degrandpre Way, Plattsburgh, New York |
| Authorized Official Name and Position | Kelley Brault (OFFICE MANAGER) |
| Authorized Official Contact | 5185618256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake City Primary Care Pllc 16 Degrandpre Way Suite 300 Plattsburgh NY 12901-6451 Ph: (518) 561-8256 | Lake City Primary Care Pllc 16 Degrandpre Way Suite 300 Plattsburgh NY 12901-6451 Ph: (518) 561-8256 |
| NPI Number | 1164850053 |
|---|---|
| Provider Enumeration Date | 10/31/2013 |
| Last Update Date | 01/17/2014 |
| Medicare PECOS PAC ID | 0143458299 |
|---|---|
| Medicare Enrollment ID | O20140116001465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164850053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 210018 (New York) | Secondary |
| 207Q00000X | Family Medicine | 210018 (New York) | Primary |
| Provider Name | George A Disney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588614275 PECOS PAC ID: 6507805843 Enrollment ID: I20050427000220 |
| Provider Name | Gilbert Desmangles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285738278 PECOS PAC ID: 4981633963 Enrollment ID: I20050810000373 |
| Provider Name | Richard A Webber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932279049 PECOS PAC ID: 2769430941 Enrollment ID: I20080116000644 |
| Provider Name | Darcy M Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770832040 PECOS PAC ID: 4183874225 Enrollment ID: I20121025000304 |
| Provider Name | Paula J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346310471 PECOS PAC ID: 6305088733 Enrollment ID: I20130814000071 |
| Provider Name | Melissa G Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407103005 PECOS PAC ID: 8022269851 Enrollment ID: I20140207001330 |
| Provider Name | Emmalee Elizabeth Colby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326565524 PECOS PAC ID: 1951662626 Enrollment ID: I20180221002183 |
| Provider Name | Stephen M Winfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992156970 PECOS PAC ID: 9830483114 Enrollment ID: I20190828002245 |
Adirondack Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Cornelia St Ste 404, Plattsburgh, NY 12901 Phone: 518-562-7337 | |
William Pelton, Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 164 Boynton Ave, Plattsburgh, NY 12901 Phone: 518-561-1122 | |
Nader Wassef, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Healey Ave, Plattsburgh, NY 12901 Phone: 518-561-2700 | |
Ascension Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Montcalm Ave Apt B, Plattsburgh, NY 12901 Phone: 518-420-7267 | |
Clinton County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Margaret Street, Plattsburgh, NY 12901 Phone: 518-565-4840 Fax: 518-565-4717 | |
Hudson Headwaters Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 87 Plaza Blvd, Plattsburgh, NY 12901 Phone: 518-536-7060 Fax: 518-536-7075 |