| Simple Healthcare, Np In Family Health, Pllc | |
|
418 Broadway Ste R Albany NY 12207-2922 | |
| (646) 907-9994 | |
| Not Available |
| Full Name | Simple Healthcare, Np In Family Health, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 418 Broadway Ste R, Albany, New York |
| Authorized Official Name and Position | Chenelle Grant (PROVIDER) |
| Authorized Official Contact | 6469079994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Healthcare, Np In Family Health, Pllc 418 Broadway Ste R Albany NY 12207-2922 Ph: () - | Simple Healthcare, Np In Family Health, Pllc 418 Broadway Ste R Albany NY 12207-2922 Ph: (646) 907-9994 |
| NPI Number | 1760263354 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 12/16/2023 |
| Medicare PECOS PAC ID | 6204362239 |
|---|---|
| Medicare Enrollment ID | O20241213000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760263354 | NPI | - | NPPES |
| 1376028514 | Medicaid | NY | |
| 1801441399 | Medicaid | NY | |
| 1750806204 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Travis Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750806204 PECOS PAC ID: 3870853898 Enrollment ID: I20180212001187 |
| Provider Name | Brittani L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376028514 PECOS PAC ID: 0648517508 Enrollment ID: I20190130001996 |
| Provider Name | Chenelle Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801441399 PECOS PAC ID: 8820420813 Enrollment ID: I20191113000187 |
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