Selena Ann Bush (NPI# 1619486081, PAC ID# 6002178282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1619486081 |
| PAC ID by PECOS | 6002178282 |
| Professional Enrollment ID | I20181127001532 |
| Full Name | Selena Ann Bush |
| Address |
4673 State Hwy 58 Gouverneur NY 13642-3202 |
| Phone Number | 3256504318 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 4673 State Hwy 58, Gouverneur, NY 13642-3202 | 3256504318 |
| Street Address |
4673 STATE HWY 58 |
| City | GOUVERNEUR |
| State | NY |
| Zip | 13642-3202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Hance | Nurse Practitioner | Canton-potsdam Hospital | 77 W Barney St, Cph Specialty Suites At Gvnr, Governed, NY 13642-1040 |
| Edward L Reason | Internal Medicine | 77 W Barney St, Gouverneur, NY 13642-1040 | |
| Payam Hadian | Family Medicine | Canton-potsdam Hospital | 77 W Barney St, Cph Specialty Suites At Gvnr, Governed, NY 13642-1040 |
| Laurie F Brown | Nurse Practitioner | Canton-potsdam Hospital | 77 W Barney St, Cph Specialty Suites At Gvnr, Governed, NY 13642-1040 |
| Theresa W Samways | Clinical Social Worker | Canton-potsdam Hospital | 77 W Barney St, Cph Specialty Suites At Gvnr, Governed, NY 13642-1040 |
| Ernie S Cougler | Nurse Practitioner | United Cerebral Palsy Association of The North Country Inc | 77 W Barney St, Gouverneur, NY 13642-1040 |
| Jie He | Internal Medicine | Delphi Hospitalist Services LLC | 77 W Barney St, Gouverneur, NY 13642-1040 |
| Ashley Rodgers | Optometry | M B Kayani Physician PC | 77 W Barney St, Gouverneur, NY 13642-1040 |
| Ali N Ahmed | Physician Assistant | Delphi Hospitalist Services LLC | 77 W Barney St, Gouverneur, NY 13642-1040 |
| Inez M Reyna | Optometry | M B Kayani Physician PC | 77 W Barney St, Gouverneur, NY 13642-1040 |
| Find all physicians in zip 13642 | |||
| City | GOUVERNEUR |
| Zip Code | 13642 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GOUVERNEUR + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Selena Ann Bush.
| 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.