Tyanne I Graham, CRNP | |
503 N 21st St, Camp Hill, PA 17011-2204 | |
(717) 763-2260 | |
(717) 763-2261 |
Full Name | Tyanne I Graham |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 503 N 21st St, Camp Hill, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225741101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | SP026685 (Pennsylvania) | Primary |
Entity Name | Penn State Health Community Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
Mailing Address | Practice Location Address |
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Tyanne I Graham, CRNP 503 N 21st St, Camp Hill, PA 17011-2204 Ph: (717) 763-2260 | Tyanne I Graham, CRNP 503 N 21st St, Camp Hill, PA 17011-2204 Ph: (717) 763-2260 |
Dr. Anthony Louis Montecalvo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2219 Fax: 717-972-4844 | |
Kimberly Sue Ford, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2219 | |
Dr. Pamela Rollings Mazza, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2249 | |
Dr. Amanullah Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2260 | |
Dr. Shiv Shankar Aggarwal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2219 | |
Dr. Nicole Lynn Witman, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 503 N 21st St, Camp Hill, PA 17011 Phone: 717-763-2219 Fax: 717-972-4844 |