Individual
EILIS WAGNER BYRNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
109 GENESEE ST, ONEIDA, NY 13421-2703
(315) 231-5530
Mailing address
115 BOYD AVE, CHITTENANGO, NY 13037-1244
(315) 560-1799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009614
NY
363A00000X
Physician Assistant
085.007620
IL
363A00000X
Physician Assistant
10003641A
IN
363A00000X
Physician Assistant
50.007310RX
OH
363A00000X
Physician Assistant
5601010832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02524418
—
NY
01
—
J400218676
MEDICARE PTAN
NY
Enumeration date
12/20/2006
Last updated
08/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us