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New York · Video visits statewide
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Care that fits your life
Telehealth care in Massena, New York.
Wade’s Care First sees Massena patients by secure video for primary care, mental health, ADHD, weight management, urgent care and more. Labs, imaging and prescriptions go to facilities in and around Massena.
Telehealth only. No office in Massena: you join from wherever you are in New York. Pricing · Insurance Accepted
Services
What Massena patients book.
Every service is available statewide by video. Each page explains what can and cannot be handled remotely.
Your ongoing Primary Care ProviderPrimary Care
Acute Care, Routine Care, Preventive Care, and Chronic Care with one provider who knows your history.
Screenings for your age and riskPreventive Care
Screenings, labs and risk checks chosen for your age, history and family history.
Evaluation and treatmentMental Health
Anxiety, depression, panic, PTSD symptoms and more. A full evaluation first, then a plan you help build.
Adults and teensADHD
Evaluation and follow-up for attention, focus and executive-function concerns.
Medication with a plan around itMedical Weight Management
A workup first, then nutrition, lab monitoring and medication when it fits.
Sick visitsUrgent Care
Sinus infections, UTIs, rashes and stomach bugs. Check the scheduler for available appointments, including same-day openings when offered.
Skin concerns by videoDermatology
Acne, eczema, psoriasis, melasma, fungal nails and rashes, evaluated from clear photos and a conversation.
Strains, sprains and flare-upsShort-Term Pain Management
Back and neck pain, sprains, joint flares and headaches over a short course of care.
Hormones, prostate and screeningMen’s Health
ED, testosterone testing, prostate health, PSA and the screenings men tend to skip.
Every stageWomen’s Health
Periods, birth control, perimenopause, menopause and the questions in between.
Ages 5 and upPediatric Care
Video visits for the things that keep a kid home from school.
Older adults and their familiesGeriatric Care
Medication review, chronic conditions and coordination with everyone involved.
Part of your primary careSleep Concerns
Insomnia, snoring, sleep apnea screening and sleep-study coordination.
Pharmacogenomic testingGeneSight® Testing
A cheek swab that adds genetic information to mental-health medication decisions.
Booking & Insurance
Plan your video visit.
Start with the care you need. We’ll guide you through the visit details and available times.
Choose your visit
Select your service and whether you are a new or established patient.
Choose how to pay
Select insurance or self-pay. Review the accepted plans and posted prices before continuing.
Find an available time
Confirm where you will be during the visit and your timezone, then review your appointment details.
More Than a Video Visit
How It Works Your care doesn’t end when the video visit ends.
Wade’s Care First is a full medical practice delivered through telehealth. When it is medically appropriate, we order, prescribe, refer and coordinate the services you would expect from a traditional outpatient practice.
- 1VisitSecure video from your phone or laptop
- 2TestingLabs and imaging ordered near you
- 3ResultsReviewed and explained with you
- 4TreatmentPrescriptions and a plan you helped build
- 5ReferralSpecialists and in-person care when needed
- 6Follow-upContinued care with the same provider
Laboratory testing
Blood work, urine tests, hormone and PSA testing, completed at a lab near you.
Diagnostic imaging
X-rays, ultrasounds, CT scans and MRIs ordered through local imaging centers.
Additional testing
Testing matched to your symptoms, history and plan, including sleep studies when indicated.
Equipment and supplies
Orders for durable medical equipment and supplies when medically necessary.
Specialist referrals
Referrals to cardiology, endocrinology, sleep medicine and more, with your care kept connected.
Prescription management
Prescribing and adjusting medications when clinically appropriate and allowed by law.
Results and follow-up
Every result reviewed with you, explained, and turned into a next step.
GeneSight® Testing
Pharmacogenomic information that may help inform mental-health medication decisions.
Care coordination
Orders and referrals sent to facilities near you, with Wade’s Care First staying involved.
Telehealth when appropriate. In-person services when needed. Coordinated care throughout.
Book a VisitHow It WorksOrders go local
Labs, imaging and pharmacies near Massena.
Massena is better equipped than many rural communities because Massena Hospital, a critical access hospital run by Rochester Regional Health, has both a Laboratory Service Center and an Imaging Center on its campus at 1 Hospital Drive. The imaging center offers walk-in X-ray and scheduled CT, MRI, ultrasound, mammography, nuclear medicine, PET/CT and bone density testing, Monday through Friday from 7 a.m. to 6 p.m.
Contact Massena Hospital about laboratory services and confirm your ordered test, outside-order acceptance, hours and insurance. Use the official Quest and Labcorp locators for additional collection options. Prescriptions can be sent to your chosen pharmacy; confirm its current location and hours.
Blood work
Laboratory Service Center, Massena at Massena Hospital (Rochester Regional Health).
Imaging
Rochester Regional Health Imaging Center, Massena at Massena Hospital: X-ray (walk-in), CT, MRI, ultrasound, mammography, nuclear medicine, PET/CT, DEXA and fluoroscopy; Monday to Friday 7 a.m. to 6 p.m., closed weekends.
Pharmacies
Kinney Drugs (300 Main Street, Massena; regional chain headquartered in Gouverneur with nearly 100 stores in New York and Vermont, including Potsdam, Canton, Ogdensburg and Gouverneur), plus national chains; Rite Aid closed all New York stores in 2025.
Before you go, confirm the requested test, outside-order acceptance, insurance, collection fees and hours with the facility. These resources are examples, not a complete directory. Quest Location Finder · Labcorp Location Finder.
Patient Questions
All Patient Questions Massena questions.
Does Wade’s Care First have an office in Massena?
No. Wade’s Care First is a telehealth practice. You join your visit by secure video from home, work or anywhere in New York, and Charles Wade, FNP-BC is licensed to treat you while you are in the state. Anything that needs hands-on care is coordinated with facilities in and around Massena, such as Massena Hospital (Rochester Regional Health, St. Lawrence region; 1 Hospital Drive; not-for-profit critical access hospital with a 24/7 emergency department, laboratory service center and imaging center on site), Canton-Potsdam Hospital (Rochester Regional Health; Potsdam) and Claxton-Hepburn Medical Campus (Ogdensburg) and Gouverneur Hospital (Rochester Regional Health; Gouverneur).
Where will I go for blood work if I live in Massena?
Laboratory Service Center, Massena at Massena Hospital (Rochester Regional Health). We send the order electronically to a location that is convenient for you or in your insurance network. Results come back to us for review with you.
Which Massena hospitals have an emergency department?
Massena Hospital (Rochester Regional Health, St. Lawrence region; 1 Hospital Drive; not-for-profit critical access hospital with a 24/7 emergency department, laboratory service center and imaging center on site), Canton-Potsdam Hospital (Rochester Regional Health; Potsdam) and Claxton-Hepburn Medical Campus (Ogdensburg) and Gouverneur Hospital (Rochester Regional Health; Gouverneur). For chest pain, trouble breathing, stroke symptoms, severe bleeding, a major injury or thoughts of harming yourself, call 911 or go to the nearest emergency department rather than booking a video visit.
Are there community health centers in Massena for in-person care?
Community Health Center of the North Country (FQHC sites in Canton, Gouverneur and Malone, plus Ogdensburg; no Massena site) serve the area with in-person primary care on a sliding scale. Many patients pair that kind of local clinic with telehealth for follow-ups, medication management and specialist coordination.
Can I use New York Medicaid or other insurance for a telehealth visit from Massena?
Many plans are accepted and benefits are verified before your visit. BCBS / Anthem PPO, UnitedHealthcare PPO, UMR (PPO), Aetna PPO, Cigna PPO, Humana PPO, Ambetter PPO, Fidelis Care / Ambetter (NY Marketplace), TRICARE. New York Medicaid is delivered mainly through mainstream Medicaid Managed Care plans (HARP and Child Health Plus enrollment is reported within those plans); 2,518,926 New York City residents and 5.6 million+ statewide were in mainstream plans in December 2025. The Essential Plan (New York’s Basic Health Program) covers adults under 200% of the federal poverty level with no monthly premium; a 2024 waiver that had extended it to 250% FPL ended July 1, 2026 after federal funding cuts, ending Essential Plan eligibility for the affected income group; those members may qualify for Qualified Health Plans with financial assistance. Free enrollment help: NY State of Health, 1-855-355-5777. Statewide Medicaid managed care plans reported by NYSDOH (2024 eQARR profiles, enrollment order): Fidelis Care, Healthfirst, MetroPlus Health Plan, Anthem BlueCross BlueShield HP, UnitedHealthcare Community Plan, Molina Healthcare of New York, Excellus BlueCross BlueShield, MVP Health Care, HIP/EmblemHealth, CDPHP, Independent Health, Highmark Western and Northeastern New York; HIV Special Needs Plans: Amida Care, MetroPlus SNP, SelectHealth from VNS Health. County availability varies: NYC (Fidelis, Healthfirst, MetroPlus, Anthem, UnitedHealthcare, Molina, HIP, Amida Care, VNS); Erie (Fidelis, Independent Health, Highmark, Molina, UnitedHealthcare, Excellus); Monroe (Excellus, MVP, Fidelis, UnitedHealthcare, Molina); Onondaga (Fidelis, Molina, UnitedHealthcare, Excellus); Albany (CDPHP, Fidelis, MVP, UnitedHealthcare); Nassau (Healthfirst, Fidelis, Anthem, HIP, UnitedHealthcare, Molina); St. Lawrence (Fidelis, UnitedHealthcare, MVP). December 2025 NYSDOH enrollment report. Coverage varies by plan, and self-pay pricing is posted if your plan is not accepted.
Is Massena a health professional shortage area?
ME, St. Lawrence County, Medicaid-eligible population HPSA: primary care score 16 (updated Sept 2024), mental health score 17 (Oct 2024); whole county is HRSA-designated rural. Telehealth can complement local clinicians by offering another way to access primary care, mental health and medication follow-up while you keep your local relationships.
Can orders be sent to a laboratory or imaging facility near me?
When clinically appropriate, we can send orders to a laboratory or imaging facility you choose. Confirm that the location performs the requested test, accepts the order and participates in your insurance network. Availability and travel distance vary by community.
More answers
Questions Massena patients ask about urgent care, primary care and geriatric care.
- Can a sore throat be assessed without an in-person examination?
- How do you decide if sinus symptoms need antibiotics?
- How can home blood pressure readings be used during a virtual visit?
- Can primary care help when I have several symptoms that may be connected?
- Why is a complete medication list particularly important for older adults?
- Can dizziness or falls be discussed during a virtual visit?
All Urgent Care Questions All Primary Care Questions All Geriatric Care Questions
Good to know
Services, screening recommendations, testing, treatment options, referrals and prescribing may vary with your age, medical history, symptoms, where you are physically located at the time of the visit, state and federal requirements, insurance requirements, and whether your condition can be safely managed by telehealth. Conditions and services listed here are examples. An appointment does not guarantee a particular diagnosis, a prescription, a controlled medication, hormone therapy, a lab order, an imaging study, a sleep study, a specialist referral, an accommodation letter or a particular treatment. Treatment decisions follow a clinical evaluation and the provider’s judgment.
Sources
Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
Patient Education
Browse All Patient EducationHealth topics for Massena patients.
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A local landmark
Massena Town Hall
Massena Town Hall on Main Street in Massena, New York, photographed in 2011.
Photo: Dougtone / Wikimedia Commons · Source · CC BY-SA 2.0. Resized for display.
Rural community · St. Lawrence County (Village of Massena; North Country, on the St. Lawrence River)
Getting care in Massena
A small North Country village in New York’s largest county by land area (2,800+ square miles, about 106,000 people), where the county is federally designated as a shortage area for Medicaid-eligible primary care, mental health and dental care and residents commonly live 15 to 30 miles from the nearest hub.
If you live in or around Massena, you already know what the numbers say: St. Lawrence County has about half the primary care physicians per person that New York State does, it is a federal shortage area for Medicaid-eligible primary care and mental health, and many people drive 15 to 30 miles for a routine visit. A video visit with Charles Wade, FNP-BC, lets you handle primary care, mental health and ADHD, weight management, urgent concerns, skin problems, men’s and women’s health, children five and older, geriatric and sleep care from home.
Lab and imaging orders go to Massena Hospital or another site you choose, and prescriptions to your pharmacy. You must be in New York during the visit and have a working internet or cell connection.
Access in St. Lawrence County (Village of Massena; North Country, on the St. Lawrence River)
St. Lawrence County is a HRSA Health Professional Shortage Area for its Medicaid-eligible population in primary care (score 16, 8.09 FTE short), mental health (score 17) and dental health (score 18), with a maternity care shortage score of 9. The county has 174 physicians per 100,000 residents versus 485 statewide, and 64 primary care physicians per 100,000 versus 124 statewide (HRSA AHRF 2022). Many residents live 15 to 30 miles from hubs such as Canton, Potsdam, Gouverneur and Massena, with limited public transportation. About 5.9% are uninsured, 26.6% on Medicaid and 22% on Medicare; 22% of households are in poverty and another 28% are ALICE (working but struggling).
Who this helps most in Massena
Telehealth is most useful here for people who cannot easily make the drive: older adults who no longer drive in winter, residents without a reliable vehicle, shift workers at the plants and the Seaway, parents of school-age children, and anyone who needs steady follow-up for depression, anxiety, ADHD, blood pressure, diabetes or weight. It is not a substitute for emergency care. Chest pain, stroke symptoms, severe breathing trouble, serious injuries or a mental health crisis mean calling 911 or going to the Massena Hospital emergency department, which is open 24 hours, or to Canton-Potsdam or Claxton-Hepburn. Procedures, vaccines and hands-on exams still require an in-person visit, and Community Health Center of the North Country in Canton or Malone offers sliding-fee care.
Local health considerations
- Distance and transportation: residents commonly live 15 to 30 miles from a hub, with limited public transit, and the county’s Housing and Transportation domain is its most severe social vulnerability. Source: St. Lawrence County 2025 Community Health Assessment.
- Aging population: 22% of residents are on Medicare, the 65-74 cohort is unusually large, and the 60-74 group will soon raise demand for chronic disease and home-based care. Source: St. Lawrence County 2025 CHA.
- Workforce shortage: 64 primary care physicians per 100,000 residents, about half the state rate, and only two mental health FTEs short of the HPSA threshold but with a score of 17. Source: St. Lawrence County 2025 CHA citing HRSA.
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