Patrick William Mannal (NPI# 1154442432, PAC ID# 7416179965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
Nation Provider ID (NPI) | 1154442432 |
PAC ID by PECOS | 7416179965 |
Professional Enrollment ID | I20161003001788 |
Full Name | Patrick William Mannal |
Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
Address |
Greystone Commercial Park 4580 State Route 28 Milford NY 13807-1147 |
Phone Number | 6075477646 |
Gender | M |
Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
Graduation Year | 2007 |
Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
Group Practice PAC ID | 3779488325 |
Number of Group Practice Members | 559 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330136 | BASSETT HEALTHCARE |
331320 | |
330085 | AURELIA OSBORN FOX MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
Greystone Commercial Park, 4580 State Route 28, Milford, NY 13807-1147 | 6075477646 | MARY IMOGENE BASSETT HOSPITAL |
Organization Legal Name | MARY IMOGENE BASSETT HOSPITAL |
Physicians | 631 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shannon Gail Stark | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Atwell Rd, Cooperstown, NY 13326-1301 |
Nomi-kaie Bennett | Psychologist, Clinical | Mary Imogene Bassett Hospital | 136 Pkwy Dr, Cobleskill, NY 12043-5150 |
Sarah Hardy | Nurse Practitioner | Mary Imogene Bassett Hospital | 8 Park Pl, St Johnsville, NY 13452-1332 |
Kristen A Herbst | Orthopedic Surgery | Mary Imogene Bassett Hospital | 1 Associate Dr, Oneonta, NY 13820-2266 |
Taylen C Peaden | Family Practice | Mary Imogene Bassett Hospital | 170 Burwell St, Little Falls, NY 13365-1716 |
Laura A Everett | Nurse Practitioner | Mary Imogene Bassett Hospital | 55 Calvary Dr, Norwich, NY 13815-1032 |
Sarah M | Nurse Practitioner | Mary Imogene Bassett Hospital | 140 Burwell St, Little Falls, NY 13365-1725 |
Jennifer Oreilly | Family Medicine | Mary Imogene Bassett Hospital | 39 Pearl St W, Sidney, NY 13838-1330 |
Robert J Garfield | Family Medicine | Mary Imogene Bassett Hospital | 32 -34 Main St, Stamford, NY 12167-1241 |
Myung K Allen | Nurse Practitioner | Mary Imogene Bassett Hospital | 1 Foxcare Dr, Suite 302, Oneonta, NY 13820-2086 |
Street Address |
GREYSTONE COMMERCIAL PARK 4580 STATE ROUTE 28 |
City | MILFORD |
State | NY |
Zip | 13807-1147 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeorge Uson Arcellana | Physical Therapy | 73 N Main St, Suite 1c, Milford, NY 13807-1133 |
City | MILFORD |
Zip Code | 13807 |
Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
City + Specialty | MILFORD + PLASTIC AND RECONSTRUCTIVE SURGERY |
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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.