Stacia D Petrancosta (NPI# 1063735959, PAC ID# 7618005554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063735959 |
| PAC ID by PECOS | 7618005554 |
| Professional Enrollment ID | I20191121002594 |
| Full Name | Stacia D Petrancosta |
| Organization Legal Name | KAREN A. WILLIAMS, MD, PC |
| Address |
18983 Us Route 11 Watertown NY 13601-5320 |
| Phone Number | 3157820059 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4789620238 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490050 | VIRGINIA HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18983 Us Route 11, Watertown, NY 13601-5320 | 3157820059 | KAREN A. WILLIAMS, MD, PC |
| Organization Legal Name | KAREN A. WILLIAMS, MD, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelby M Scordo | Physician Assistant | Karen A. Williams, Md, PC | 18983 Us Route 11, Watertown, NY 13601-5320 |
| Karen A Williams | Family Medicine | Karen A. Williams, Md, PC | 18983 Us Route 11, Watertown, NY 13601-5320 |
| Eileen R Kraeger | Physician Assistant | Karen A. Williams, Md, PC | 18983 Us Route 11, Watertown, NY 13601-5320 |
| Street Address |
18983 US ROUTE 11 |
| City | WATERTOWN |
| State | NY |
| Zip | 13601-5320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelby M Scordo | Physician Assistant | Karen A. Williams, Md, PC | 18983 Us Route 11, Watertown, NY 13601-5320 |
| Karen A Williams | Family Medicine | Karen A. Williams, Md, PC | 18983 Us Route 11, Watertown, NY 13601-5320 |
| Eileen R Kraeger | Physician Assistant | Karen A. Williams, Md, PC | 18983 Us Route 11, Watertown, NY 13601-5320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maria N Alicea | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christina M Oneil | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
| Catherine Vreatt | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Zachary Nahmias | Dermatology | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Makenzie Rae Griffin | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Bonnie L Servage | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Erica Feola | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maryellen I Blevins | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Find all physicians in zip 13601 | |||
| City | WATERTOWN |
| Zip Code | 13601 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WATERTOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stacia D Petrancosta.
| 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.