Michelle P Blegen (NPI# 1053309484, PAC ID# 5193826592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053309484 |
| PAC ID by PECOS | 5193826592 |
| Professional Enrollment ID | I20070730000666 |
| Full Name | Michelle P Blegen |
| Organization Legal Name | TRUMANSBURG MEDICINE PLLC |
| Address |
1018 Ellis Hollow Rd Suite C Ithaca NY 14850-2806 |
| Phone Number | 6073875707 |
| Gender | F |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5395846794 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330307 | CAYUGA MEDICAL CENTER AT ITHACA |
| Address | Phone | Organization |
|---|---|---|
| 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 | 6073875707 | TRUMANSBURG MEDICINE PLLC |
| 4435 Seneca Rd, Trumansburg Family Health Center, Trumansburg, NY 14886-9201 | 6073875707 | TRUMANSBURG MEDICINE PLLC |
| Organization Legal Name | TRUMANSBURG MEDICINE PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Hastings Iii | Nurse Practitioner | Trumansburg Medicine Pllc | 4435 Seneca Rd, Trumansburg Family Health Center, Trumansburg, NY 14886-9201 |
| Maura C Mccauley | Family Medicine | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Cynthia Davis | Nurse Practitioner | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| John D Cooke | Family Medicine | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Kelly Seaman | Nurse Practitioner | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Gerrit William Heetderks | Family Medicine | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Shawnti R Storm | Nurse Practitioner | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Street Address |
1018 ELLIS HOLLOW RD SUITE C |
| City | ITHACA |
| State | NY |
| Zip | 14850-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maura C Mccauley | Family Medicine | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Cynthia Davis | Nurse Practitioner | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| John D Cooke | Family Medicine | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Kelly Seaman | Nurse Practitioner | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Gerrit William Heetderks | Family Medicine | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Shawnti R Storm | Nurse Practitioner | Trumansburg Medicine Pllc | 1018 Ellis Hollow Rd, Suite C, Ithaca, NY 14850-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Anne Vargas | Clinical Social Worker | Dewitt Mall 215 N Cayuga St, Suite 77, Ithaca, NY 14850 | |
| Ashlin M Thuman | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Brian S Marino | Cardiovascular Disease (cardiology) | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Sara Schewel Foster | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Paula Fitzsimmons | Physician Assistant | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Diana M Stephens | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Marie A Harkins | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Suite C, Ithaca, NY 14850-1016 |
| Lori Davis | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Alexandra T Burch | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Brad A Yentzer | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Find all physicians in zip 14850 | |||
| City | ITHACA |
| Zip Code | 14850 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ITHACA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michelle P Blegen.
| 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.