Allison Ickes, NURSE PRACTITIONER | |
2901 Jolly Rd, Plymouth Meeting, PA 19462-2324 | |
(610) 272-8221 | |
(610) 272-5655 |
Full Name | Allison Ickes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2901 Jolly Rd, Plymouth Meeting, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053823377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP018005 (Pennsylvania) | Primary |
Entity Name | Suburban Geriatric's, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679594808 PECOS PAC ID: 4486551371 Enrollment ID: O20031218000064 |
Entity Name | Hcr Manorcare Medical Services Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20041230000181 |
Entity Name | Gps Physician Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180123000502 |
Entity Name | Suburban Geriatrics Ii Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073273363 PECOS PAC ID: 9537552419 Enrollment ID: O20220217001836 |
Mailing Address | Practice Location Address |
---|---|
Allison Ickes, NURSE PRACTITIONER 2901 Jolly Rd, Plymouth Meeting, PA 19462-2324 Ph: (610) 272-8221 | Allison Ickes, NURSE PRACTITIONER 2901 Jolly Rd, Plymouth Meeting, PA 19462-2324 Ph: (610) 272-8221 |
Colleen M Karasinski, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2250 Hickory Rd, Plymouth Meeting, PA 19462 Phone: 610-834-1122 | |
Vincent Grove, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 | |
Mrs. Shannon Westbrook, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-3222 | |
Corinne Elizabeth Gallo Dressel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 | |
Anne Gitu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 Fax: 610-272-5655 | |
Mrs. Heather Christine Kratz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2901 Jolly Rd, Plymouth Meeting, PA 19462 Phone: 610-272-8221 Fax: 610-272-5655 |