Melissa J Benardot (NPI# 1427303353, PAC ID# 0648244384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427303353 |
| PAC ID by PECOS | 0648244384 |
| Professional Enrollment ID | I20160407001508 |
| Full Name | Melissa J Benardot |
| Organization Legal Name | UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY INC |
| Address |
380 County Route 51 Malone NY 12953-4504 |
| Phone Number | 5184832600 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729078001 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330084 | ALICE HYDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 380 County Route 51, Malone, NY 12953-4504 | 5184832600 | UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY INC |
| Organization Legal Name | UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia J Raville | Clinical Social Worker | United Cerebral Palsy Association of The North Country Inc | 380 County Route 51, Malone, NY 12953-4504 |
| Charles A Dembowski | Optometry | United Cerebral Palsy Association of The North Country Inc | 146 L Arsenal St, Suite 8, Watertown, NY 13601-2520 |
| Andrew F Williams | Internal Medicine | United Cerebral Palsy Association of The North Country Inc | 4 Commerce Ln, Canton, NY 13617-3739 |
| Muhammad Saleem | Psychiatry | United Cerebral Palsy Association of The North Country Inc | 4 Commerce Ln, Canton, NY 13617-3739 |
| Kenneth H Hilborne | Nurse Practitioner | United Cerebral Palsy Association of The North Country Inc | 380 County Route 51, Malone, NY 12953-4504 |
| Donna D Gokey | Nurse Practitioner | United Cerebral Palsy Association of The North Country Inc | 4 Commerce Ln, Canton, NY 13617-3739 |
| Daniel J Sanchez | Physician Assistant | United Cerebral Palsy Association of The North Country Inc | 380 County Route 51, Malone, NY 12953-4504 |
| Jonathan P Ludlow | Optometry | United Cerebral Palsy Association of The North Country Inc | 4 Commerce Ln, Canton, NY 13617-3739 |
| Amber K Davis | Clinical Social Worker | United Cerebral Palsy Association of The North Country Inc | 4 Commerce Ln, Canton, NY 13617-3739 |
| Debra A Mitchell | Clinical Social Worker | United Cerebral Palsy Association of The North Country Inc | 4 Commerce Ln, Canton, NY 13617-3739 |
| Street Address |
380 COUNTY ROUTE 51 |
| City | MALONE |
| State | NY |
| Zip | 12953-4504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia J Raville | Clinical Social Worker | United Cerebral Palsy Association of The North Country Inc | 380 County Route 51, Malone, NY 12953-4504 |
| Kenneth H Hilborne | Nurse Practitioner | United Cerebral Palsy Association of The North Country Inc | 380 County Route 51, Malone, NY 12953-4504 |
| Daniel J Sanchez | Physician Assistant | United Cerebral Palsy Association of The North Country Inc | 380 County Route 51, Malone, NY 12953-4504 |
| Kelsie R St Louis | Physician Assistant | United Cerebral Palsy Association of The North Country Inc | 380 County Route 51, Malone, NY 12953-4504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel T Santy | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
| Tracy A Trudel | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
| Gary L Hanley | Optometry | 22 Finney Blvd, Malone, NY 12953-1039 | |
| Noni H Irish | Clinical Social Worker | Citizen Advocates, Inc | 209 Park St, Malone, NY 12953-1228 |
| Myrna A Sanchez | Internal Medicine | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Marie W Haggarty | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Vladimir Medved | Pain Management | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| David J Griffin | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Steven Shamosh | Internal Medicine | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Derek J Reynolds | Nurse Practitioner | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Find all physicians in zip 12953 | |||
| City | MALONE |
| Zip Code | 12953 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MALONE + NURSE PRACTITIONER |
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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.