Carol A Medura, CRNP | |
233 S Prospect St, Nanticoke, PA 18634-2443 | |
(570) 735-0102 | |
Not Available |
Full Name | Carol A Medura |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 233 S Prospect St, Nanticoke, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588918650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP012432 (Pennsylvania) | Primary |
Entity Name | Medexpress Urgent Care Pc - Pennsylvania |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982839031 PECOS PAC ID: 8224181482 Enrollment ID: O20090805000511 |
Entity Name | Pennsylvania Physician Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343 |
Mailing Address | Practice Location Address |
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Carol A Medura, CRNP 89 Fawn Ridge Rd, White Haven, PA 18661-3623 Ph: (570) 443-0614 | Carol A Medura, CRNP 233 S Prospect St, Nanticoke, PA 18634-2443 Ph: (570) 735-0102 |
Jill Ann Ferretti, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 E Main St, Nanticoke, PA 18634 Phone: 570-258-3939 Fax: 570-735-2921 | |
Suzanne Rae, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 E Main St, Nanticoke, PA 18634 Phone: 570-258-1304 Fax: 570-258-1305 | |
Mrs. Linda A O'boyle, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
Mr. Gregory Daniel Snyder, CRNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 E Main St, Nanticoke, PA 18634 Phone: 570-258-3939 |