Melissa A. Patillo (NPI# 1376098574, PAC ID# 1355620618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376098574 |
| PAC ID by PECOS | 1355620618 |
| Professional Enrollment ID | I20180709000186 |
| Full Name | Melissa A. Patillo |
| Organization Legal Name | ST. MARY'S HEALTHCARE |
| Address |
48 Erie Blvd Canajoharie NY 13317-1133 |
| Phone Number | 5186732573 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618960709 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330047 | ST MARY'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 48 Erie Blvd, Canajoharie, NY 13317-1133 | 5186732573 | ST. MARY'S HEALTHCARE |
| Organization Legal Name | ST. MARY'S HEALTHCARE |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Mehling | Nurse Practitioner | St. Mary's Healthcare | 700 S Perry St, Johnstown, NY 12095-3213 |
| Chelsea Centurioni | Physician Assistant | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| James Izzano | Obstetrics/gynecology | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| Athanasios Tournas | Otolaryngology | St. Mary's Healthcare | 380 Guy Park Ave, Amsterdam, NY 12010-1055 |
| Deborah A Sculco | Hematology/oncology | St. Mary's Healthcare | 4988 State Hwy 30, Amsterdam, NY 12010-7520 |
| Brij M Saran | Psychiatry | St. Mary's Healthcare | 57 E Fulton St, Gloversville, NY 12078-3212 |
| Mohammad-reza Ghazi-moghadam | Urology | St. Mary's Healthcare | 425 Guy Park Ave, Amsterdam, NY 12010-1043 |
| Judith N Kelly | Nurse Practitioner | St. Mary's Healthcare | 48 Erie Blvd, Canajoharie, NY 13317-1133 |
| Samuel Dean Detweiler | Family Medicine | St. Mary's Healthcare | 331 Bridge St, Northville, NY 12134-7418 |
| Craig E Todd | Emergency Medicine | St. Mary's Healthcare | 4950 State Hwy 30, Amsterdam, NY 12010-7520 |
| Street Address |
48 ERIE BLVD |
| City | CANAJOHARIE |
| State | NY |
| Zip | 13317-1133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith N Kelly | Nurse Practitioner | St. Mary's Healthcare | 48 Erie Blvd, Canajoharie, NY 13317-1133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol A Balfe | Optometry | 70 Erie Blvd, Mohawk Valley Eyecare, Canajoharie, NY 13317-1133 | |
| Darlene A Euler | Chiropractic | 77 Mohawk St, Canajoharie, NY 13317-1145 | |
| Michael Norman Divak | Psychologist, Clinical | 66 Montgomery St, Suite 2, Canajoharie, NY 13317-1212 |
| City | CANAJOHARIE |
| Zip Code | 13317 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANAJOHARIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa A. Patillo.
| 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.