| William Pelton, Md Pc | |
|
164 Boynton Ave Plattsburgh NY 12901-1241 | |
| (518) 561-1122 | |
| Not Available |
| Full Name | William Pelton, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 164 Boynton Ave, Plattsburgh, New York |
| Authorized Official Name and Position | William Pelton (OWNER) |
| Authorized Official Contact | 5185611122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Pelton, Md Pc 164 Boynton Ave Plattsburgh NY 12901-1241 Ph: () - | William Pelton, Md Pc 164 Boynton Ave Plattsburgh NY 12901-1241 Ph: (518) 561-1122 |
| NPI Number | 1033842042 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 09/16/2022 |
| Medicare PECOS PAC ID | 8426426263 |
|---|---|
| Medicare Enrollment ID | O20221129000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033842042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | William N Pelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184696841 PECOS PAC ID: 1254391022 Enrollment ID: I20041015000381 |
| Provider Name | Dana E Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720218746 PECOS PAC ID: 7517095011 Enrollment ID: I20100504000274 |
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