Bruce G Kokernot (NPI# 1194827584, PAC ID# 3072670314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1194827584 |
| PAC ID by PECOS | 3072670314 |
| Professional Enrollment ID | I20090331000581 |
| Full Name | Bruce G Kokernot |
| Organization Legal Name | CLINTON COUNTY |
| Address |
130 Arizona Ave Suite 1500 Plattsburgh NY 12903-4908 |
| Phone Number | 5185654060 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1977 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7618960600 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 130 Arizona Ave, Suite 1500, Plattsburgh, NY 12903-4908 | 5185654060 | CLINTON COUNTY |
| Organization Legal Name | CLINTON COUNTY |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Hornby | Clinical Social Worker | Clinton County | 130 Arizona Ave, Suite 1500, Plattsburgh, NY 12903-4908 |
| Elisa Castillo | Clinical Social Worker | Clinton County | 130 Arizona Ave, Suite 1500, Plattsburgh, NY 12903-4908 |
| Martin O Oviasogie | Nurse Practitioner | Clinton County | 130 Arizona Ave, Suite 1500, Plattsburgh, NY 12903-4908 |
| Danny Dupree | Clinical Social Worker | Clinton County | 130 Arizona Ave, Suite 1500, Plattsburgh, NY 12903-4908 |
| Darcy Elias Hathaway | Clinical Social Worker | Clinton County | 130 Arizona Ave, Plattsburgh, NY 12903-4908 |
| Street Address |
130 ARIZONA AVE SUITE 1500 |
| City | PLATTSBURGH |
| State | NY |
| Zip | 12903-4908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Hornby | Clinical Social Worker | Clinton County | 130 Arizona Ave, Suite 1500, Plattsburgh, NY 12903-4908 |
| Elisa Castillo | Clinical Social Worker | Clinton County | 130 Arizona Ave, Suite 1500, Plattsburgh, NY 12903-4908 |
| Martin O Oviasogie | Nurse Practitioner | Clinton County | 130 Arizona Ave, Suite 1500, Plattsburgh, NY 12903-4908 |
| Danny Dupree | Clinical Social Worker | Clinton County | 130 Arizona Ave, Suite 1500, Plattsburgh, NY 12903-4908 |
| Darcy Elias Hathaway | Clinical Social Worker | Clinton County | 130 Arizona Ave, Plattsburgh, NY 12903-4908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ursula M Jones | Clinical Social Worker | 5 Club Rd, Suite 2, Plattsburgh, NY 12903-3903 | |
| Elizabeth L Yokum | Clinical Social Worker | 22 Us Oval, Suite 122, Plattsburgh, NY 12903-5901 | |
| Maryanna Lange | Clinical Social Worker | 22 Us Oval, Suite 201, Plattsburgh, NY 12903-5902 | |
| Cristina A Trutia | Psychiatry | 22 Us Oval, Suite 207, Plattsburgh, NY 12903-5902 |
| City | PLATTSBURGH |
| Zip Code | 12903 |
| Specialty | PSYCHIATRY |
| City + Specialty | PLATTSBURGH + PSYCHIATRY |
Please comment or provide details below to improve the information on Bruce G Kokernot.
| 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.