Alexander Ayres Mearhoff-nickum, | |
1872 St Lukes Blvd, Easton, PA 18045-5669 | |
(484) 526-6643 | |
(484) 526-4658 |
Full Name | Alexander Ayres Mearhoff-nickum |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1872 St Lukes Blvd, Easton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063287910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP028695 (Pennsylvania) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Gslpg, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
Mailing Address | Practice Location Address |
---|---|
Alexander Ayres Mearhoff-nickum, 1872 St Lukes Blvd, Easton, PA 18045-5669 Ph: (484) 526-6643 | Alexander Ayres Mearhoff-nickum, 1872 St Lukes Blvd, Easton, PA 18045-5669 Ph: (484) 526-6643 |
Tyler Mclean, CRNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3701 Corriere Rd, Easton, PA 18045 Phone: 484-591-7205 | |
Kyle Latourette, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 St Lukes Blvd, Easton, PA 18045 Phone: 484-503-4673 | |
Jamila Gummo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2884 Hodle Ave, Easton, PA 18045 Phone: 161-078-1981 | |
Nichole Padron, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N 3rd St, 2nd Floor, Easton, PA 18042 Phone: 484-503-8010 | |
Amanda Alicia Johns, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3701 Corriere Rd Ste 10, Easton, PA 18045 Phone: 484-591-7205 | |
Brooke H Kunsman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 Hay Ter, Easton, PA 18042 Phone: 610-252-2045 | |
Mrs. Bianca Nicole Cardeiro, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 866-785-8537 |