| Scott S. Brehaut, Md, Pllc | |
|
4290 Middle Settlement Rd New Hartford NY 13413-5314 | |
| (315) 272-2285 | |
| (315) 624-0192 |
| Full Name | Scott S. Brehaut, Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4290 Middle Settlement Rd, New Hartford, New York |
| Authorized Official Name and Position | Scott S Brehaut (PHYSICIAN) |
| Authorized Official Contact | 3152722285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott S. Brehaut, Md, Pllc Po Box 687 New Hartford NY 13413-0687 Ph: (315) 736-2080 | Scott S. Brehaut, Md, Pllc 4290 Middle Settlement Rd New Hartford NY 13413-5314 Ph: (315) 272-2285 |
| NPI Number | 1952451411 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 02/18/2013 |
| Medicare PECOS PAC ID | 2567562366 |
|---|---|
| Medicare Enrollment ID | O20070710000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952451411 | NPI | - | NPPES |
| 03129251 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New York) | Primary |
| Provider Name | Scott S Brehaut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245253541 PECOS PAC ID: 2961478615 Enrollment ID: I20040903000792 |
| Provider Name | Mariangela C. Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902561442 PECOS PAC ID: 4789075334 Enrollment ID: I20211215002759 |
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