Individual ProviderKaty UnderwoodFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618(518) 677-3961(518) 926-6992PECOS EnrollmentBased on the most recent information from CMS, provider Katy Underwood is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1386261865Provider TypeIndividualFull NameUnderwood, KatyTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/30/2020Last Updated8/23/2023Contact InformationPractice LocationPractice Address35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618Phone(518) 677-3961Fax(518) 677-3180Mailing LocationMailing Address100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413Phone(518) 926-6992Fax(518) 926-6983Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense325214New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64389New York