Mary Jill Vaillancourt (NPI# 1104290915, PAC ID# 0244531747) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104290915 |
| PAC ID by PECOS | 0244531747 |
| Professional Enrollment ID | I20160819002082 |
| Full Name | Mary Jill Vaillancourt |
| Organization Legal Name | APOGEE MEDICAL GROUP, NEW YORK, PC |
| Address |
515 Main St Olean NY 14760-1513 |
| Phone Number | 7163757317 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4587793294 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330103 | OLEAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 515 Main St, Olean, NY 14760-1513 | 7163757317 | APOGEE MEDICAL GROUP, NEW YORK, PC |
| Organization Legal Name | APOGEE MEDICAL GROUP, NEW YORK, PC |
| Physicians | 85 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shafiu O Ololade | Hospitalist | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Sunyoung S Lee | Internal Medicine | Apogee Medical Group, New York, PC | 462 Grider St, Buffalo, NY 14215-3021 |
| Barinder S Chana | Internal Medicine | Apogee Medical Group, New York, PC | 462 Grider St, Buffalo, NY 14215-3021 |
| Sandeep Yalamanchili | Nurse Practitioner | Apogee Medical Group, New York, PC | 462 Grider St, Buffalo, NY 14215-3021 |
| Gaboy Jupiter | Nurse Practitioner | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Anuradha Mendu | Internal Medicine | Apogee Medical Group, New York, PC | 462 Grider St, Buffalo, NY 14215-3021 |
| James E Tkacik | Physician Assistant | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Tina M Dubeck | Nurse Practitioner | Apogee Medical Group, New York, PC | 462 Grider St, Buffalo, NY 14215-3021 |
| Rajiv Pant | Internal Medicine | Apogee Medical Group, New York, PC | 133 Park St, Malone, NY 12953-1244 |
| Lalita Lashon Alexander | Nurse Practitioner | Apogee Medical Group, New York, PC | 462 Grider St, Buffalo, NY 14215-3021 |
| Street Address |
515 MAIN ST |
| City | OLEAN |
| State | NY |
| Zip | 14760-1513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Phinney | Optometry | 515 Main St, Windsor, CO 80550-5131 | |
| Mary E Smith | Nurse Practitioner | Olean General Hospital | 515 Main St, Olean, NY 14760-1513 |
| Donald E Higgs | Pathology | Olean General Hospital | 515 Main St, Olean, NY 14760-1513 |
| Heidi L Calhoun-nudd | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesiology PC | 515 Main St, Olean, NY 14760-1513 |
| Philip Leonard Senger | Emergency Medicine | Keystone Medical Services of Olean PC | 515 Main St, Olean, NY 14760-1513 |
| Vijay S Iyer | Cardiovascular Disease (cardiology) | Kaleida Health | 515 Main St, Olean, NY 14760-1513 |
| Daniel C Lai | Otolaryngology | Great Lakes Otolaryngology, PC | 515 Main St, Olean, NY 14760-1513 |
| Gerald R Gorman | Emergency Medicine | Keystone Medical Services of Olean PC | 515 Main St, Olean, NY 14760-1513 |
| Yifan Lu | Internal Medicine | Apogee Medical Group, New York, PC | 515 Main St, Olean, NY 14760-1513 |
| Beth Porter | Nurse Practitioner | Apogee Medical Group, New York, PC | 515 Main St, Olean, NY 14760-1513 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah M Williams | Nurse Practitioner | County of Cattaraugus | 1 Leo Moss Dr, Suite 4308, Olean, NY 14760-1100 |
| Donna J Gunsolus | Clinical Social Worker | County of Cattaraugus County Treasurer | 1 Leo Moss Dr 4308 Dept of Cmnty Svcs, Olean, NY 14760-1100 |
| Monir A Chaudhry | Psychiatry | County of Cattaraugus | 1 Leo Moss Dr, Suite 4308, Olean, NY 14760-1100 |
| Renee M Andrzejewski | Qualified Audiologist | 535 Main St, Olean, NY 14760-1500 | |
| Sandy A Jackson | Nurse Practitioner | Olean Medical Group Partnership | 535 Main St, Olean, NY 14760-1513 |
| Fred H Lewis | Allergy/immunology | Olean Medical Group Partnership | 535 Main St, Olean, NY 14760-1513 |
| Roger A Klein | Obstetrics/gynecology | Olean Medical Group Partnership | 535 Main St, Olean, NY 14760-1513 |
| Jeffrey C Slear | Physical Therapy | Olean Medical Group Partnership | 535 Main St, Olean, NY 14760-1513 |
| Candy L Work | Registered Dietitian Or Nutrition Professional | Olean Medical Group Partnership | 535 Main St, Olean, NY 14760-1513 |
| Kishor V. Phadke | Cardiovascular Disease (cardiology) | Kaleida Health | 515 Main St, Olean, NY 14760-1513 |
| Find all physicians in zip 14760 | |||
| City | OLEAN |
| Zip Code | 14760 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OLEAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Jill Vaillancourt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.