Gerald Calabrese (NPI# 1487642138, PAC ID# 3274725361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1487642138 |
PAC ID by PECOS | 3274725361 |
Professional Enrollment ID | I20101007000730 |
Full Name | Gerald Calabrese |
Organization Legal Name | GOUVERNEUR HOSPITAL |
Address |
6 Lexington Ave Antwerp NY 13608-4165 |
Phone Number | 3156598993 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
Graduation Year | 1982 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 9931336724 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
331315 | GOUVERNEUR HOSPITAL |
330197 | CANTON-POTSDAM HOSPITAL |
331317 | LEWIS COUNTY GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
6 Lexington Ave, Antwerp, NY 13608-4165 | 3156598993 | GOUVERNEUR HOSPITAL |
77 W Barnes St, Gouverneur, NY 13642-1132 | 3152871000 | GOUVERNEUR HOSPITAL |
Organization Legal Name | GOUVERNEUR HOSPITAL |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cynthia L Simpson | Nurse Practitioner | Gouverneur Hospital | 77 W Barnes St, Gouverneur, NY 13642-1132 |
Brittani L Bickel | Physician Assistant | Gouverneur Hospital | 2924 County Route 17, De Kalb Junction, NY 13630-3136 |
John Welborn | Nurse Practitioner | Gouverneur Hospital | 8 Church St, Edwards, NY 13635 |
Alice V Loving | Anesthesiology | Gouverneur Hospital | 77 W Barnes St, Gouverneur, NY 13642-1132 |
Matthew D Zegil | Nurse Practitioner | Gouverneur Hospital | 77 W Barnes St, Gouverneur, NY 13642-1132 |
Mona L Giffin | Nurse Practitioner | Gouverneur Hospital | 8 Church St, Edwards, NY 13635 |
Rachel I Raven | Nurse Practitioner | Gouverneur Hospital | 2924 County Route 17, De Kalb Junction, NY 13630-3136 |
Street Address |
6 LEXINGTON AVE |
City | ANTWERP |
State | NY |
Zip | 13608-4165 |
City | ANTWERP |
Zip Code | 13608 |
Specialty | INTERNAL MEDICINE |
City + Specialty | ANTWERP + INTERNAL MEDICINE |
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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.