Timothy David Mckinley, | |
200 Scenery Dr, State College, PA 16801-7974 | |
(814) 231-4560 | |
(814) 231-6246 |
Full Name | Timothy David Mckinley |
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Gender | Male |
Speciality | Dermatology |
Location | 200 Scenery Dr, State College, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225590391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD480437 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
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Timothy David Mckinley, 1581 2nd St, Danville, PA 17821-1257 Ph: () - | Timothy David Mckinley, 200 Scenery Dr, State College, PA 16801-7974 Ph: (814) 231-4560 |
Dr. Cassandra Joy Simonetta, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 32 Colonnade Way, State College, PA 16803 Phone: 814-272-4445 Fax: 814-272-4450 | |
Jerry Forrest Mikesell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1393 N Atherton St, State College, PA 16803 Phone: 814-238-6097 Fax: 814-238-5527 | |
Dr. Loretta A Pratt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 312, State College, PA 16803 Phone: 814-237-6600 Fax: 814-237-5383 | |
Mary Amanda Jacobs, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr., State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Mark Edward Kozminsky, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2505 Green Tech Dr, Suite A1, State College, PA 16803 Phone: 814-237-6600 Fax: 814-237-5383 | |
Dr. Matthew Allyn Hazey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Scenery Dr Uppr Level, State College, PA 16801 Phone: 814-237-6600 Fax: 814-237-5383 |