Amy J Bahl, CRNP | |
965 Shamrock Ln, Corry, PA 16407-1196 | |
(814) 665-8288 | |
(814) 664-8618 |
Full Name | Amy J Bahl |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 965 Shamrock Ln, Corry, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124741046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | RN626746 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP026346 (Pennsylvania) | Primary |
Entity Name | St Vincent Medical Education And Research Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576 |
Mailing Address | Practice Location Address |
---|---|
Amy J Bahl, CRNP 1 Lecom Pl, Erie, PA 16505-2571 Ph: (814) 868-2529 | Amy J Bahl, CRNP 965 Shamrock Ln, Corry, PA 16407-1196 Ph: (814) 665-8288 |
Tina Hawley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 York St, Corry, PA 16407 Phone: 814-665-8288 Fax: 814-664-8618 | |
Keeley Lynn Phelps, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Shamrock Ln, Corry, PA 16407 Phone: 814-665-8288 Fax: 814-664-8618 | |
Debra R Shreve, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 York St, Corry, PA 16407 Phone: 814-664-8686 Fax: 814-664-9826 | |
Jenna Louise Chase, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Shamrock Ln, Corry, PA 16407 Phone: 814-665-8288 Fax: 814-664-8618 | |
Lisa Hewitt Zarger, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 York St, Corry, PA 16407 Phone: 814-664-8686 | |
Carol Weilacher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 York St, Corry, PA 16407 Phone: 814-664-8686 Fax: 814-664-9826 | |
Cheryl A Mongera, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 York St, Suite B, Corry, PA 16407 Phone: 814-664-3979 Fax: 814-663-4879 |