Diane Tumolo, | |
5030 State Rd, Drexel Hill, PA 19026-4605 | |
(610) 394-1330 | |
Not Available |
Full Name | Diane Tumolo |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 5030 State Rd, Drexel 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 |
---|---|---|---|
1902340813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | SP016622 (Pennsylvania) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 2016015030 (Pennsylvania) | Primary |
Entity Name | Prospect Health Access Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
Mailing Address | Practice Location Address |
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Diane Tumolo, 5030 State Rd, Drexel Hill, PA 19026-4605 Ph: (610) 394-1330 | Diane Tumolo, 5030 State Rd, Drexel Hill, PA 19026-4605 Ph: (610) 394-1330 |
Miss Linda R Dalo, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Keystone Ave, Suite 200, Drexel Hill, PA 19026 Phone: 610-259-0240 Fax: 610-259-0606 | |
Sarah A Brigger, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 N Lansdowne Ave, Drexel Hill, PA 19026 Phone: 610-284-8100 | |
Bennett Okyere, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34-3 Revere Rd, Drexel Hill, PA 19026 Phone: 267-314-7850 | |
Nancy Thai, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5001 Township Line Rd, Drexel Hill, PA 19026 Phone: 610-853-2962 | |
Deborah Jean Tancredi, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5001 Township Line Rd, Drexel Hill, PA 19026 Phone: 610-209-6667 | |
Ms. Annmarie Barber, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 N Lansdowne Ave, Neonatology, Drexel Hill, PA 19026 Phone: 610-447-6707 | |
Laura Roettger, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 Keystone Ave, Suite 404, Drexel Hill, PA 19026 Phone: 610-284-0200 |