Amanda Wiese, CRNP | |
150 Monument Rd Ste 300, Bala Cynwyd, PA 19004-1725 | |
(610) 747-3400 | |
(610) 617-2481 |
Full Name | Amanda Wiese |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 150 Monument Rd Ste 300, Bala Cynwyd, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427410299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | SP026921 (Pennsylvania) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | SP026921 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clinical Care Associates Of The University Of Pennsylvania Health | 4688588866 | 507 |
Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
Mailing Address | Practice Location Address |
---|---|
Amanda Wiese, CRNP 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004-1725 Ph: (610) 747-3400 | Amanda Wiese, CRNP 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004-1725 Ph: (610) 747-3400 |
Catherine Kazanjian, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 Phone: 610-668-9999 | |
Jeanine Dunmore, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004 Phone: 610-617-1300 Fax: 610-617-0199 | |
Mrs. Diyong S Graham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Monument Rd Ste 600, Bala Cynwyd, PA 19004 Phone: 610-753-1271 | |
Kelly A Peszko, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Bala Plz, Suite Il-27, Bala Cynwyd, PA 19004 Phone: 610-668-9999 | |
Angela G Houck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004 Phone: 610-747-3400 Fax: 610-617-2481 | |
Katharine Grace Burke, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Monument Rd, Bala Cynwyd, PA 19004 Phone: 610-747-3400 | |
Sandra Adams Ohaire, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd, Suite 300, Bala Cynwyd, PA 19004 Phone: 610-617-2400 |