Ayla Rae Bogaczyk, CRNP | |
3912 Trindle Rd, Camp Hill, PA 17011-4246 | |
(717) 761-8740 | |
Not Available |
Full Name | Ayla Rae Bogaczyk |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 3912 Trindle Rd, 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 |
---|---|---|---|
1669155636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP027823 (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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Ayla Rae Bogaczyk, CRNP 501 Benyou Ln, New Cumberland, PA 17070-3004 Ph: (570) 956-9859 | Ayla Rae Bogaczyk, CRNP 3912 Trindle Rd, Camp Hill, PA 17011-4246 Ph: (717) 761-8740 |
Teresa A Williams, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 N 21st St, Camp Hill, PA 17011 Phone: 717-763-3730 Fax: 717-763-3734 | |
Dawn Danielle Smith, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 890 Poplar Church Rd Ste 503, Camp Hill, PA 17011 Phone: 717-972-7120 Fax: 717-972-7121 | |
Michelle Melville, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3720 Market St, Camp Hill, PA 17011 Phone: 717-909-4670 Fax: 717-909-4675 | |
Kim L Shuster-dubois, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3025 Market St, Camp Hill, PA 17011 Phone: 717-761-8900 Fax: 717-761-1320 | |
Justin Molignoni, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Market St, Camp Hill, PA 17011 Phone: 717-433-5390 | |
Victoria C Feidt, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 Trindle Rd, Camp Hill, PA 17011 Phone: 717-412-7859 Fax: 717-965-3214 | |
Mercy N Odoom, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 Carlisle Pike, Camp Hill, PA 17011 Phone: 717-975-9800 |