Jennifer S Kanaly (NPI# 1780045724, PAC ID# 7214228451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780045724 |
| PAC ID by PECOS | 7214228451 |
| Professional Enrollment ID | I20160620001354 |
| Full Name | Jennifer S Kanaly |
| Organization Legal Name | NORTH COUNTRY BEHAVIORAL MEDICINE PLLC |
| Address |
3384 State Route 22 Suite 4 Peru NY 12972-5305 |
| Phone Number | 5186435550 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668744756 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 3384 State Route 22, Suite 4, Peru, NY 12972-5305 | 5186435550 | NORTH COUNTRY BEHAVIORAL MEDICINE PLLC |
| Organization Legal Name | NORTH COUNTRY BEHAVIORAL MEDICINE PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Vanness | Physician Assistant | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Jaclyn R Combes | Physician Assistant | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Barbara A Denton | Clinical Social Worker | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Dino Santoro | Psychiatry | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Christa N Hackney | Nurse Practitioner | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Carmen A Chroback | Clinical Social Worker | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Archil Chechelashvili | Psychiatry | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Street Address |
3384 STATE ROUTE 22 SUITE 4 |
| City | PERU |
| State | NY |
| Zip | 12972-5305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Vanness | Physician Assistant | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Jaclyn R Combes | Physician Assistant | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Barbara A Denton | Clinical Social Worker | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Dino Santoro | Psychiatry | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Christa N Hackney | Nurse Practitioner | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Carmen A Chroback | Clinical Social Worker | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Archil Chechelashvili | Psychiatry | North Country Behavioral Medicine Pllc | 3384 State Route 22, Suite 4, Peru, NY 12972-5305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaylen M Bigelow | Nurse Practitioner | Adirondack Medical Practice LLC | 3384 Route 22, Peru, NY 12972 |
| Bridget A Molloy | Nurse Practitioner | Adirondack Medical Practice LLC | 3384 Route 22, Peru, NY 12972 |
| Anthony Politi | Internal Medicine | Adirondack Medical Practice LLC | 3384 Route 22, Peru, NY 12972 |
| Courtney B Marcotte | Physician Assistant | Adirondack Medical Practice LLC | 3384 Route 22, Peru, NY 12972 |
| Aimee B Clinton | Nurse Practitioner | Adirondack Medical Practice LLC | 3384 Route 22, Peru, NY 12972 |
| Paula M Lapham | Nurse Practitioner | Adirondack Medical Practice LLC | 3384 Route 22, Peru, NY 12972 |
| Elizabeth R Ahern | Physician Assistant | Adirondack Medical Practice LLC | 3384 Route 22, Peru, NY 12972 |
| David W Smith | Family Practice | 9 Elm St, Peru, NY 12972-2812 |
| City | PERU |
| Zip Code | 12972 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PERU + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer S Kanaly.
| 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.