Alexander J Eller (NPI# 1740592344, PAC ID# 6406019793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740592344 |
| PAC ID by PECOS | 6406019793 |
| Professional Enrollment ID | I20120524000187 |
| Full Name | Alexander J Eller |
| Organization Legal Name | NEW HARTFORD PSYCHIATRIC SERVICES PLLC |
| Address |
238 Oriskany Blvd Whitesboro NY 13492-1540 |
| Phone Number | 3157687181 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981590304 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330394 | UNITED HEALTH SERVICES HOSPITALS, INC |
| 330033 | CHENANGO MEMORIAL HOSPITAL, INC |
| 330011 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 750 E Adams St, Syracuse, NY 13210-2306 | 3154643120 | PSYCHIATRY FACULTY PRACTICE INC |
| 238 Oriskany Blvd, Whitesboro, NY 13492-1540 | 3157687181 | NEW HARTFORD PSYCHIATRIC SERVICES PLLC |
| Organization Legal Name | NEW HARTFORD PSYCHIATRIC SERVICES PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcellus R Cephas | Psychiatry | New Hartford Psychiatric Services Pllc | 238 Oriskany Blvd, Whitesboro, NY 13492-1540 |
| Laneasha Marie Eudell | Nurse Practitioner | New Hartford Psychiatric Services Pllc | 238 Oriskany Blvd, Whitesboro, NY 13492-1540 |
| Street Address |
238 ORISKANY BLVD |
| City | WHITESBORO |
| State | NY |
| Zip | 13492-1540 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcellus R Cephas | Psychiatry | New Hartford Psychiatric Services Pllc | 238 Oriskany Blvd, Whitesboro, NY 13492-1540 |
| Laneasha Marie Eudell | Nurse Practitioner | New Hartford Psychiatric Services Pllc | 238 Oriskany Blvd, Whitesboro, NY 13492-1540 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Ryan | Family Medicine | Faxton - St Lukes Healthcare | 37 Main St, Whitesboro, NY 13492-1034 |
| Claudia Nicole Bailey | Nurse Practitioner | Faxton - St Lukes Healthcare | 37 Main St, Whitesboro, NY 13492-1034 |
| Cristin A Kirkland | Nurse Practitioner | Faxton - St Lukes Healthcare | 37 Main St, Whitesboro, NY 13492-1034 |
| Matthew Blando | Family Medicine | Faxton - St Lukes Healthcare | 37 Main St, Whitesboro, NY 13492-1034 |
| David P Kingwater Ii | Chiropractic | 383 Oriskany Blvd, Whitesboro, NY 13492-1424 |
| City | WHITESBORO |
| Zip Code | 13492 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WHITESBORO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alexander J Eller.
| 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.